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Scalp-ear-nipple syndrome is characterized by the following triad: areas of hairless raw skin over the scalp (present at birth and healing during childhood), prominent, hypoplastic ears with almost absent pinnae, and bilateral amastia. Thirty cases have been described so far. Renal and urinary tract abnormalities, as well as cataract, have also been observed. Transmission is autosomal dominant.
Features include always present findings: Aplasia cutis congenita, Sparse axillary hair, and Sparse pubic hair; and very common findings: Aplasia/Hypoplasia of the nipples, Breast aplasia, Underdeveloped antitragus, and Small earlobe and others. 70 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Skin | 7 | Dry skin, Patchy alopecia, Decreased sweating (hypohidrosis) |
KCTD1 encodes potassium channel tetramerization domain containing 1 (257 aa). May repress the transcriptional activity of AP-2 family members, including TFAP2A, TFAP2B and TFAP2C to various extent Highest expression in Esophagus Mucosa (36.4 TPM) and Brain Frontal Cortex BA9 (36.2 TPM).
Scalp-ear-nipple syndrome is associated with mutations in the KCTD1 gene on chromosome 18.
The KCTD1 protein participates in Negative regulation of activity of TFAP2 (AP-2) family transcription factors and Transcriptional regulation by the AP-2 (TFAP2) family of transcription factors pathways.
KCTD1 is classified as a druggable target (Transcription Factor and Transcription Factor Binding categories) with score 0.0.
Genetic testing for KCTD1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 3 always present features, 11 very common features, 14 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for scalp-ear-nipple syndrome.
7 publications have been identified in PubMed for scalp-ear-nipple syndrome. Research spans Basic Science / Preclinical (71%) and Case Report / Case Series (29%).
Deshmukh D (2026). [PMID: 41160101](https://pubmed.ncbi.nlm.nih.gov/41160101/). *International journal of dermatology*. [Case Report / Case Series]
Liao Y (2025). [PMID: 41086914](https://pubmed.ncbi.nlm.nih.gov/41086914/). *The Journal of biological chemistry*. [Case Report / Case Series]
Meng X (2025). [PMID: 39424163](https://pubmed.ncbi.nlm.nih.gov/39424163/). *Gene*. [Basic Science / Preclinical]
Pinkas DM (2024). [PMID: 39191250](https://pubmed.ncbi.nlm.nih.gov/39191250/). *Structure (London, England : 1993)*. [Basic Science / Preclinical]
Miller KA (2024). [PMID: 38296633](https://pubmed.ncbi.nlm.nih.gov/38296633/). *Journal of medical genetics*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 1:12 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Kidneys and urinary system |
6 |
Renal hypoplasia, Unilateral renal agenesis, Reduced kidney function (renal insufficiency) |
Arms and legs | 5 | 3-4 finger cutaneous syndactyly, 2-3 toe syndactyly, Finger syndactyly |
Heart and blood vessels | 4 | Supraventricular tachycardia, Cardiac myxoma, Hypertension |
Eyes | 2 | Cataract, Developmental cataract |
Growth and development | 1 | Short stature |
Brain and nerves | 1 | Depressed nasal bridge |
Head and neck | 1 | Mandibular prognathia |
Blood and immune system | 1 | Recurrent urinary tract infections |
Hormones | 1 | Type I diabetes mellitus |
Balasco N (2024). [PMID: 39111466](https://pubmed.ncbi.nlm.nih.gov/39111466/). *International journal of biological macromolecules*. [Basic Science / Preclinical]