Interestingly, in a case report of a 14-year-old child with extensive mucocutaneous blisters caused by acantholysis of keratinocytes, epidermolytic palmoplantar keratoderma, nail dystrophy, enamel dysplasia, and sparse woolly hair, a very similar DSP missense variant was found [32]. Here, DSP is linked to epidermolytic palmoplantar keratoderma, 1.