Primary defects in the development of two or more ectoderm-derived tissues are shared by a rare heterogeneous group of inherited disorders called ectodermal dysplasia (ED) syndrome. The affected tissues are primarily the hair, skin, teeth, sweat glands, and nails. The most common phenotype of ED is hypohidrotic ED (HED), which is characterized by hypohidrosis/anhidrosis, hypotrichosis, and hypodontia/anodontia. Other clinical features of HED include frontal bossing with prominent supraorbital ridges, nasal bridge depression, and protuberant lips. There are three subtypes of HED: autosomal recessive, autosomal dominant, and Xlinked. Mutations to four genes (EDA, EDAR, EDARADD, and WNT10A) are responsible for most cases of ED. Besides gene mutations, epigenetics also influences gene expression and activity in ED syndrome. DNA methylation and histone modification are vital to the epigenetic regulation of the development of female carriers of the X-linked subtype of HED.