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Ellis van Creveld syndome
Jaishree Ghanekar1, Sujata Sangrampurkar, Raman Hulinaykar
1Department of Medicine, MGM Medical College, Navi Mumbai.
Insights
Ellis-van Creveld syndrome (EVC), a rare genetic disorder, causes skeletal and ectodermal abnormalities. This case highlights its presentation in a young Indian woman with consanguineous parents.
Area of Science:
- Genetics
- Medical Genetics
- Rare Diseases
Background:
- Ellis-van Creveld syndrome (EVC) is a rare autosomal recessive disorder characterized by chondrodysplasia, ectodermal dysplasia, polydactyly, and congenital heart disease.
- While its exact prevalence is unknown, EVC appears more common in specific populations like the Amish and has been reported in India.
Observation:
- This report details a classical case of EVC syndrome in a 22-year-old woman of Indian origin.
- The patient's parents were consanguineous, a factor sometimes associated with recessive genetic disorders.
Findings:
- The patient exhibited key features of EVC, including disproportionate dwarfism due to chondrodysplasia of tubular bones.
- Additional findings included postaxial polydactyly, dystrophic nails, partial anodontia, pectus excavatum, knock knees, and an atrioventricular canal defect.
Implications:
- This case contributes to the understanding of EVC's phenotypic variability and its occurrence in diverse populations.
- It underscores the importance of recognizing the constellation of symptoms for timely diagnosis and management of EVC syndrome.
- Further research into the genetic and epidemiological aspects of EVC in different ethnic groups is warranted.
Abstract:
Ellis-van Creveld syndrome (EVC) or chondroectodermal dysplasia is a rare autosomal recessive disorder. It is a tetrad of chondrodysplasia, ectodermal dysplasia, polydactyly, and congenital heart disease. In several case reports, dysplasia involving other organs has also been identified. The exact prevalence is unknown, but the syndrome seems more common among the Amish community. Many Indian cases have also been reported. This report describes a classical case of EVC syndrome in a 22 year old woman of Indian origin born of a consanginous marriage. The patient had chondrodysplasia of tubular bones resulting in disproportionate dwarfism, postaxial polydactyly, severely dystrophic nails, partially absent teeth, pectus excavatum with narrow chest, knock knees and AV canal defect.
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