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Published on: September 19, 2015
Insights
Cat's eye syndrome, a rare genetic disorder, often presents with congenital anomalies. This case highlights a rare association with cleft palate, emphasizing the need for comprehensive management in affected children.
Area of Science:
- Genetics
- Pediatrics
- Ophthalmology
Background:
- Cat's eye syndrome is a rare chromosomal disorder characterized by multiple congenital anomalies.
- Previous reports indicate a low incidence of cleft palate in Cat's eye syndrome patients.
Observation:
- A 4-year-old male with Cat's eye syndrome presented with iridochoroidal coloboma, cleft soft palate, hypertelorism, epicanthal folds, hearing deficit, congenital heart disease (pulmonary arteriovenous fistula), and developmental delays.
- This patient had a 47,XY + marker chromosome.
- The patient lacked anal atresia, preauricular skin tags, microphthalmia, depressed nasal bridge, and renal or skeletal anomalies.
Findings:
- This case represents a rare instance of Cat's eye syndrome associated with cleft palate.
- Surgical repair of the cleft soft palate was successfully performed at 2.5 years of age.
Implications:
- This case underscores the importance of thorough evaluation for associated anomalies in Cat's eye syndrome.
- Early surgical intervention for cleft palate can improve outcomes in affected children.
Abstract:
Cat's eye syndrome is a very rare disease with many congenital anomalies. Until the end of 1983, 35 cases had been reported, but only 5 cases were associated with cleft palate, and only 1 patient was operated on. A 4-year-old male child had coloboma of the iridochoroid, cleft soft palate, hypertelorism with an antimongoloid slant of the eyes, epicanthal folds, hearing deficit, congenital heart disease (pulmonary arteriovenous fistula), mental and growth retardation, and a 47,XY + marker chromosome. The patient did not have anal atresia, preauricular skin tags, microphthalmia, depressed nasal bridge, or renal or skeletal anomalies. The operation was performed on his cleft soft palate when he was 2.5 years old.
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