Molecular genetic analyses during the past half-decade have brought un
expected insights into the molecular defects underlying a wide variety
of abnormal skin phenotypes. Highlights of the efforts in the past ye
ar include the identification of mutations in an epidermal transglutam
inase gene in lamellar ichthyosis as well as mutations in an additiona
l five keratin genes causing four different abnormal phenotypes, and m
utations in beta(4) integrin and bullous pemphigoid antigen 2 genes in
junctional epidermolysis bullosa and in the p16(lNK4a) gene in 50% of
kindreds with familial melanoma.