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Hypothalamo-pituitary insufficiency associated with ectrodactyly-ectodermal dysplasia-clefting syndrome
Nihal Hatipoğlu1, Selim Kurtoğlu, Derya Büyükayhan
1Department of Pediatric Endocrinology, Sisli Etfal Education and Research Hospital, İstanbul, Turkey. nihalhatipoglu@yahoo.com
Insights
Ectrodactyly-ectodermal dysplasia-clefting (EEC) syndrome, a rare genetic disorder, can cause hormonal deficiencies. This study highlights two cases of EEC syndrome with hypothalamo-pituitary insufficiency, emphasizing the need for endocrine evaluation.
Area of Science:
- Genetics
- Endocrinology
- Developmental Biology
Background:
- Ectrodactyly-ectodermal dysplasia-clefting (EEC) syndrome is a rare autosomal dominant disorder.
- It presents with ectrodactyly, ectodermal dysplasia, and facial clefting, often with other congenital anomalies.
- While midline defects suggest potential hypothalamo-pituitary endocrinopathy, hormonal disorders are infrequently reported in EEC syndrome.
Observation:
- This report details two pediatric patients diagnosed with EEC syndrome.
- Both patients exhibited symptoms consistent with EEC syndrome and were found to have hypothalamo-pituitary insufficiency.
- The clinical presentation underscores the variability and potential endocrine involvement in EEC syndrome.
Findings:
- The study identifies hypothalamo-pituitary insufficiency as a significant, though rarely reported, complication in EEC syndrome.
- Hormonal disorders, specifically insufficiency, were confirmed in the presented cases of EEC syndrome.
- This highlights a crucial aspect of the syndrome's complex phenotype.
Implications:
- Early endocrine screening and monitoring are crucial for patients with EEC syndrome.
- Recognizing hypothalamo-pituitary insufficiency can lead to timely diagnosis and management, improving patient outcomes.
- This emphasizes the importance of a multidisciplinary approach in managing rare genetic syndromes like EEC.
Abstract:
Ectrodactyly-ectodermal dysplasia-clefting (EEC) syndrome is characterized by ectodermal dysplasia, ectrodactyly and facial clefting with multiple congenital anomalies such as urinary tract anomaly, lacrimal duct obstruction, and hearing loss. This syndrome is a rare disease transmitted by autosomal dominant inheritance with variable penetrance. Clinical expression is variable. In EEC syndrome with midline defect hypothalamo-pituitary endocrinopathy is expected, however hormonal disorders in EEC syndrome have rarely been reported. We present two patients with EEC syndrome associated with hypothalamo-pituitary insufficiency.
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