Un bambino con febbre che non suda: pensare 688-692 Indice 2004 1 20-12-2005 17:05 Pagina 689 690 alla displasia ectodermica

We report the case of a child with failure to thrive and dysphagia associated to a persistent fever, which not respond to antibiotic treatment. An accurate interview allowed us to underline some important points: the fever decreased undressing the child while it did not respond to paracetamol; presence of eyedrops during crying was never observed; the mother presented monolateral agalactogenesis and a childhood history of poor hair and malformed teeth. We performed a sweat test to the baby which demonstrate the absence of sweat production, substaining our hypothesis of an anhidrotic ectodermal dysplasia. The genetic analysis confirmed the diagnosis.