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Start free with EleplanWrinkly skin syndrome
ORPHA:2834Clinical subtype
Also called WSS · Wrinkled skin syndrome
What it is
Wrinkly skin syndrome (WSS) is characterized by wrinkling of the skin of the dorsum of the hands and feet, an increased number of palmar and plantar creases, wrinkled abdominal skin, multiple skeletal abnormalities (joint laxity and congenital hip dislocation), late closing of the anterior fontanel, microcephaly, pre- and postnatal growth retardation, developmental delay and facial dysmorphism (a broad nasal bridge, downslanting palpebral fissures and hypertelorism).
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy, Neonatal
- Inheritance
- Autosomal recessive
- Classified as
- Clinical subtype
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
52- Abnormal isoelectric focusing of serum transferrin
- Abnormality of the cheek
- Broad nasal tip
- Carious teeth
- Congenital hip dislocation
- Coxa vara
- Cryptorchidism
- Cutis laxa
- Decreased muscle mass
- Deep palmar crease
- Deep plantar creases
- Delayed closure of the anterior fontanelle
- Delayed eruption of teeth
- Delayed speech and language development
- Downslanted palpebral fissures
- Epicanthus
- Excessive wrinkled skin
- Failure to thrive
- Floppy infant
- Fragmented elastic fibers in the dermis
- Generalized joint hypermobility
- Global developmental delay
- High myopia
- High nonceruloplasmin-bound serum copper
- High palate
- Hypernasal speech
- Hypertelorism
- Inguinal hernia
- Intrauterine growth retardation
- Kyphoscoliosis
- Lipodystrophy
- Long philtrum
- Low-set ears
- Multiple palmar creases
- Multiple plantar creases
- Osteopenia
- Pectus excavatum
- Pes planus
- Postnatal growth retardation
- Premature rupture of membranes
- Progressive microcephaly
- Prominent nasolabial fold
- Prominent veins on trunk
- Recurrent sinopulmonary infections
- Short stature
- Slender long bones with narrow diaphyses
- Small, conical teeth
- Smooth philtrum
- Sparse hair
- Thick cerebral cortex
- Umbilical hernia
- Wormian bones
Common30–79%
6These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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