Genetic defects presenting in the first year of life were more likely to lead to both a generalized HMD pattern and also developmental delay, as observed in patients with neurotransmitter defects (with the exception of dominant GCH1‐related disease) and those with ATP1A3, FOXG1, GNAO1, SLC2A1, and PDE10A variants.10, 11, 13, 14, 15. This evidence concerns the gene GNAO1 and hereditary mucoepithelial dysplasia.