The field of pediatric dermatology continues to be enriched by the insights
offered through molecular genetics. For some genetic skin disorders, inclu
ding neurofibromatosis, tuberous sclerosis complex, and several forms of ep
idermolysis bullosa, genetic research has resulted in an evolving understan
ding of the relationship between genotype and phenotype, with the ability t
o predict some of the features of these disorders on the basis of the genet
ic defect, However, widespread use of molecular genetics for diagnostic tes
ting of these disorders has not been possible because of genetic heterogene
ity, limited availability, and reduced sensitivity, The appropriate use of
genetic services is emphasized in this, the molecular era, Curr Opin Pediat
r 2000, 12:347-353 (C) 2000 Lippincott Williams & Wilkins, Inc.