Autosomal Recessive Woolly Hair/Hypotrichosis Caused by LIPH Mutations: A Case Report

    July 2025 in “ Frontiers in Medicine
    Ying Xie, Sha Luo, Yumei Yang, Xin Zou, Shuying Lv, Meijiao Du, Yonglong Xu, Xiaojuan Song, Cancan Qi, Nuo Li, Dingquan Yang
    TLDR Mutations in the LIPH gene cause woolly hair in a child.
    This case report details a 22-year-old female with autosomal recessive woolly hair (ARWH) due to compound heterozygous mutations in the LIPH gene, specifically c.1101del and c.736 T > A. The c.1101del mutation is a novel frameshift variant, adding to the mutation spectrum of LIPH-associated ARWH. The patient showed typical ARWH symptoms, such as tightly coiled, sparse, and fragile hair. Genetic testing confirmed the pathogenicity of these mutations, inherited from each parent. Treatment with topical minoxidil did not lead to significant improvement. The study underscores the need to understand the LIPH/LPA/P2Y5 signaling pathway for developing future treatments.
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