“…This association (DDD-HS) was first described by Weber et al in 1990 and subsequently confirmed in numerous case reports. [16][17][18][19][20][21][22][23][24][25][26] Recently, two reports suggested that DDD-HS may result from mutations in the PSENEN gene. 25,26 Here, we studied four additional patients who presented with clinical features consistent with both DDD and HS, who were found to carry a founder Notch-inhibiting mutation in PSENEN.…”