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Congenital ptosis with esotropia in brothers

Asha Latha Madasseri1, Paul Mullaney, Colm Costigan

  • 1National Centre for Medical Genetics, Our Lady's Hospital for Sick Children, Crumlin, Dublin 2, Ireland.

Insights

This study reports two brothers with congenital ptosis and esotropia, a rare combination. One brother also presented with polythelia, suggesting a potential new syndrome.

Area of Science:

  • Ophthalmology
  • Genetics
  • Pediatrics

Background:

  • Congenital ptosis and esotropia are common ocular conditions in children.
  • Polythelia, the presence of supernumerary nipples, is a rare congenital anomaly.

Observation:

  • Two brothers presented with a unique combination of congenital ptosis and esotropia.
  • One of the affected brothers also exhibited polythelia.

Findings:

  • This specific constellation of congenital ptosis, esotropia, and polythelia has not been previously documented in medical literature.
  • The clinical presentation shows overlap with previously reported family pedigrees, particularly the one by Frydman et al.

Implications:

  • This case report may indicate a novel genetic syndrome or a rare variant of an existing condition.
  • Further research is warranted to understand the genetic basis and inheritance pattern of this condition.

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