Trichothiodystrophy in a Child with Occult Learning Disorder

    Wai Sze Agnes Chan, Hazel H. Oon, JoyceSiong See Lee, YungHian Leow, YokeChin Giam
    TLDR Early diagnosis and a multidisciplinary approach are crucial for children with Trichothiodystrophy and hidden learning disorders.
    Trichothiodystrophy (TTD) is an autosomal recessive disorder marked by brittle, sulfur-deficient hair, often linked to a genetic mutation in DNA nucleotide excision repair (NER) in up to 83% of cases. This case report focused on a 13-month-old girl with hair fragility and loss since 3 months of age, emphasizing the overlap between TTD and other NER diseases. It underscored the importance of early diagnosis of occult learning disorders in children with TTD and advocated for early assessment and a multidisciplinary approach to address the child's educational needs.
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