Ellis van Creveld syndrome with unusual association of essential infantile esotropia
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Published on: September 20, 2024
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.
Abstract:
Ellis-van Creveld syndrome is a rare short-limbed disproportionate dwarfism characterized by postaxial polydactyly, several skeletal, oral mucosal and dental anomalies, nail dysplasia and in 50-60% cases of congenital cardiac defects. It is an autosomal recessive disorder with mutations of the EVC1 and EVC2 genes located on chromosome 4p16. Patients with this syndrome usually have a high mortality in early life due to cardiorespiratory problems. We present the case of a six- month-old female infant with Ellis-van Creveld syndrome - essential infantile esotropia, which has been infrequently documented in the literature.
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