Ellis van Creveld syndrome with unusual association of essential infantile esotropia

D Das1, G Das, T K S Mahapatra

  • 1Departments of Ophthalmology and Pediatrics, R. G. Kar Medical College, Kolkata, India.

Insights

Ellis-van Creveld syndrome, a rare genetic disorder, presents with skeletal, dental, and cardiac issues. This case highlights an infrequent association with infantile esotropia in a six-month-old infant.

Area of Science:

  • Genetics
  • Pediatrics
  • Medical Case Reports

Background:

  • Ellis-van Creveld syndrome is a rare autosomal recessive disorder.
  • Characterized by short-limbed dwarfism, polydactyly, skeletal, oral, dental, and nail anomalies.
  • Congenital cardiac defects occur in 50-60% of cases, contributing to high early mortality.

Observation:

  • Presents a case of a six-month-old female infant diagnosed with Ellis-van Creveld syndrome.
  • The infant also exhibited essential infantile esotropia, a condition rarely documented with this syndrome.
  • This highlights a potentially underreported clinical manifestation.

Findings:

  • Confirms the genetic basis of Ellis-van Creveld syndrome (EVC1/EVC2 gene mutations).
  • Documents the co-occurrence of essential infantile esotropia in an infant with Ellis-van Creveld syndrome.
  • Underscores the diverse and complex clinical spectrum of this rare genetic disorder.

Implications:

  • Suggests the need for comprehensive ophthalmological evaluation in infants with Ellis-van Creveld syndrome.
  • May prompt further research into the genetic or developmental links between Ellis-van Creveld syndrome and ocular conditions.
  • Contributes to a better understanding of the multifaceted presentation of rare genetic disorders.

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