Case Report: Gollop-Wolfgang Complex in a 5 month old baby

Ihtesham A Qureshi1, Rohit Kumar Gudepu1, Ravikanth Chava1

  • 1Division of Community Studies, National Institute of Nutrition, Indian Council of Medical Research, Hyderabad, 500 007, India.

F1000Research
|June 16, 2015
PubMed

Insights

This study details a rare case of Gollop-Wolfgang Complex (GWC), a limb malformation disorder, in a 5-month-old Indian infant. The infant presented with unique skeletal abnormalities including femur bifurcation and sacrococcygeal agenesis.

Area of Science:

  • Medical Genetics
  • Orthopedics
  • Developmental Biology

Background:

  • Skeletal dysplasias encompass a group of generalized skeletal abnormalities.
  • Gollop-Wolfgang Complex (GWC) is a rare limb deficiency disorder with diverse clinical presentations.

Purpose of the Study:

  • To report a unique case of Gollop-Wolfgang Complex in a 5-month-old male infant from India.
  • To document the specific limb and skeletal malformations observed in this case.
  • To discuss the potential etiology and clinical significance of this unusual presentation.

Main Methods:

  • Clinical examination of the infant.
  • Radiographic imaging (X-rays) to assess skeletal structures.
  • Detailed documentation of all observed malformations.

Main Results:

  • The infant presented with right femur bifurcation, bilateral ectrodactyly of feet, left hand ectrodactyly, right hand syndactyly.
  • Unusual findings included bilateral fibular agenesis and sacrococcygeal agenesis.
  • The presentation deviated significantly from typical GWC manifestations.

Conclusions:

  • This case highlights the extreme variability of Gollop-Wolfgang Complex.
  • The combination of limb malformations and agenesis suggests a complex developmental etiology.
  • Spontaneous gene mutation is a potential cause for this GWC presentation.