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Ellis-van Creveld syndrome in an Indian child: a case report
K M Veena1, H Jagadishchandra, Prasanna Kumar Rao
1Department of Oral Medicine and Radiology, Yenepoya Dental College, Yenepoya University, Mangalore, India.
Insights
Ellis-van Creveld syndrome is a rare genetic disorder with distinct oral findings, including polydactyly and dwarfism. Early dental diagnosis is crucial for managing this condition affecting speech and jaw growth.
Area of Science:
- Genetics
- Pediatrics
- Dentistry
Background:
- Ellis-van Creveld syndrome (EvCS) is a rare autosomal recessive congenital disorder.
- It disproportionately affects the Amish population with a prevalence of 1/5,000 live births, contrasting with 7/1,000,000 in non-Amish populations.
Observation:
- EvCS is characterized by postaxial polydactyly, acromesomelic dwarfism due to chondrodysplasia, ectodermal dysplasia (nails, teeth), and congenital heart defects.
- Oral manifestations, though rarely reported in dentistry, are striking and constant diagnostic features.
Findings:
- The study highlights the significant oral findings in Ellis-van Creveld syndrome patients.
- These oral features serve as key diagnostic indicators for the syndrome.
Implications:
- Dentists play a vital role in the early diagnosis and management of EvCS.
- Addressing oral manifestations is essential for improving aesthetics, speech, and jaw growth in affected children.
Abstract:
Ellis-van Creveld syndrome is a rare congenital genetic disorder having autosomal recessive inheritance. It is a syndrome affecting the Amish population of Pennsylvania in USA with prevalence rate of 1/5,000 live at birth. In non-Amish population, the birth prevalence is 7/1,000,000. The syndrome is characterized by bilateral postaxial polydactyly of the hands, chondrodysplasia of long bones resulting in acromesomelic dwarfism, ectodermal dysplasia affecting nails as well as teeth and congenital heart malformation. There were very rare reports of this syndrome in dentistry. The present case focuses on the striking and constant oral findings of these patients, which are the main diagnostic features of this syndrome. Since the oral manifestations affect the esthetic, speech, and jaw growth of the child, the dentists have an important role to play in proper management of such case.
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