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Ferraresso LFOT, Fagundes FAU, Padovese M, Singi P, Paiva MF, Inagaki-Nomura LT, Dezan-Garbelini CC, Boer FAC. Peripheral odontogenic fibroma in a child with Ellis-van Creveld syndrome: Case report. SPECIAL CARE IN DENTISTRY 2024; 44:103-108. [PMID: 37041105 DOI: 10.1111/scd.12855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 03/21/2023] [Accepted: 03/22/2023] [Indexed: 04/13/2023]
Abstract
INTRODUCTION Ellis-van Creveld (EVC) syndrome is an autosomal recessive disorder predominantly characterized by a disproportionate dwarfism, ectodermal dysplasia, postaxial polydactyly, and congenital heart malformations and pulmonary hypoplasia. OBJECTIVE In this article, we hereby present a case of a 6-year-old Brazilian boy with EVC syndrome who presented a rare oral lesion as well as a remarkable number of classical and uncommon oral and dental features. CASE REPORT Clinical and radiographic examination revealed multiple enamel hypoplasia, teeth agenesis, conical teeth, lower canine rotation, bilateral posterior crossbite, taurodontism of deciduous and permanent molars and delayed tooth eruption, dental caries, and absent vestibular sulcus. Additionally, a whitish lobulated nodule located in the alveolar ridge in the anterior region of the mandible was noted. Anatomopathological examination was compatible with the diagnosis of peripheral odontogenic fibroma (POF). In a 10-month clinical follow-up, no signs of recurrence were observed. CONCLUSION In view of the characteristic oral findings of EVC syndrome and the potential for recurrence of POF, the pediatric dentist plays an essential role in clinical follow-up, planning and preventive, and rehabilitative treatment.
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Affiliation(s)
| | | | - Mariella Padovese
- Department of Oral Medicine and Dentistry for Children, State University of Londrina, Londrina, PR, Brazil
| | - Paola Singi
- Department of Oral Medicine and Dentistry for Children, State University of Londrina, Londrina, PR, Brazil
| | - Mayra Frasson Paiva
- Department of Oral Medicine and Dentistry for Children, State University of Londrina, Londrina, PR, Brazil
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Ghosh B, Sahai I, Agrawal G, Acharya S, Christopher J. Ellis-Van Creveld Syndrome: A Rare Case Report of an Indian Child With Rare Cardiac Anomalies and Normal Intelligence. Cureus 2022; 14:e29846. [DOI: 10.7759/cureus.29846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 10/01/2022] [Indexed: 11/05/2022] Open
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Kaur M, Dass C. Anaesthetic challenges of Ellis-van Creveld syndrome. J Clin Anesth 2018; 47:60-61. [DOI: 10.1016/j.jclinane.2018.03.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Revised: 03/14/2018] [Accepted: 03/19/2018] [Indexed: 11/27/2022]
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Bardawil T, Khalil S, Bergqvist C, Abbas O, Kibbi AG, Bitar F, Nemer G, Kurban M. Genetics of inherited cardiocutaneous syndromes: a review. Open Heart 2016; 3:e000442. [PMID: 27933191 PMCID: PMC5133403 DOI: 10.1136/openhrt-2016-000442] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2016] [Revised: 07/13/2016] [Accepted: 07/19/2016] [Indexed: 12/17/2022] Open
Abstract
The life of a human being originates as a single cell which, under the influence of certain factors, divides sequentially into multiple cells that subsequently become committed to develop and differentiate into the different structures and organs. Alterations occurring early on in the development process may lead to fetal demise in utero. Conversely, abnormalities at later stages may result in structural and/or functional abnormalities of varying severities. The cardiovascular system and skin share certain developmental and structural factors; therefore, it is not surprising to find several inherited syndromes with both cardiac and skin manifestations. Here, we will review the overlapping pathways in the development of the skin and heart, as well as the resulting syndromes. We will also highlight several cutaneous clues that may help physicians screen and uncover cardiac anomalies that may be otherwise hidden and result in sudden cardiac death.
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Affiliation(s)
| | | | | | - Ossama Abbas
- Department of Dermatology , American University of Beirut , Beirut Lebanon
| | - Abdul Ghani Kibbi
- Department of Dermatology , American University of Beirut , Beirut Lebanon
| | - Fadi Bitar
- Department of Biochemistry and Molecular Genetics, American University of Beirut, BeirutLebanon; Department of Pediatrics, American University of Beirut, BeirutLebanon
| | - Georges Nemer
- Department of Biochemistry and Molecular Genetics , American University of Beirut , Beirut Lebanon
| | - Mazen Kurban
- Department of Dermatology, American University of Beirut, BeirutLebanon; Department of Biochemistry and Molecular Genetics, American University of Beirut, BeirutLebanon; Department of Dermatology, Columbia University Medical Center, New York, New York, USA
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Tuna EB, Koruyucu M, Kürklü E, Çifter M, Gençay K, Seymen F, Tüysüz B. Oral and craniofacial manifestations of Ellis-van Creveld syndrome: Case series. J Craniomaxillofac Surg 2016; 44:919-24. [PMID: 27325544 DOI: 10.1016/j.jcms.2016.04.025] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2015] [Revised: 03/21/2016] [Accepted: 04/15/2016] [Indexed: 01/15/2023] Open
Abstract
PURPOSE The objective of this case series was to determine the oral, dental and craniofacial features of patients with EvC syndrome. MATERIAL AND METHODS Eight patients with EvC syndrome were enrolled. A complete family history, pedigree analysis, detailed medical history were collected. Findings of clinical examination, including craniofacial and orodental manifestations, and radiological investigations were thoroughly studied. RESULTS All eight patients had characteristic face, hypertrophic frenulum, conical and peg-shaped teeth, hypodontia of deciduous and/or permanent teeth and also skeletal dysplasia, small chest, short stature and hypoplastic nails. Additionally dysmorphic filtrum, serrated appearance of gingiva, diastema, enamel hypoplasia, microdontia, taurodontism, single rooted permanent molar, delayed eruption and high caries rate were observed with varying degrees. Cephalometric evaluation revealed skeletal Class III growth pattern in four subjects and Class II growth pattern in one subject. CONCLUSION Evaluation of craniofacial and orodental anomalies of EvC syndrome is required for accurate differential diagnosis from other congenital syndromes.
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Affiliation(s)
- Elif Bahar Tuna
- Istanbul University, Faculty of Dentistry, Department of Pedodontics, Istanbul, Turkey
| | - Mine Koruyucu
- Istanbul University, Faculty of Dentistry, Department of Pedodontics, Istanbul, Turkey
| | - Esma Kürklü
- Istanbul University, Faculty of Dentistry, Department of Oral Surgery, Istanbul, Turkey.
| | - Muhsin Çifter
- Istanbul University, Faculty of Dentistry, Department of Orthodontics, Istanbul, Turkey
| | - Koray Gençay
- Istanbul University, Faculty of Dentistry, Department of Pedodontics, Istanbul, Turkey
| | - Figen Seymen
- Istanbul University, Faculty of Dentistry, Department of Pedodontics, Istanbul, Turkey
| | - Beyhan Tüysüz
- Istanbul University, Cerrahpasa Medical Faculty, Department of Pediatric Genetics, Istanbul, Turkey
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Badri MK, Zhang H, Ohyama Y, Venkitapathi S, Kamiya N, Takeda H, Ray M, Scott G, Tsuji T, Kunieda T, Mishina Y, Mochida Y. Ellis Van Creveld2 is Required for Postnatal Craniofacial Bone Development. Anat Rec (Hoboken) 2016; 299:1110-20. [PMID: 27090777 DOI: 10.1002/ar.23353] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Revised: 02/23/2016] [Accepted: 03/02/2016] [Indexed: 11/07/2022]
Abstract
Ellis-van Creveld (EvC) syndrome is a genetic disorder with mutations in either EVC or EVC2 gene. Previous case studies reported that EvC patients underwent orthodontic treatment, suggesting the presence of craniofacial bone phenotypes. To investigate whether a mutation in EVC2 gene causes a craniofacial bone phenotype, Evc2 knockout (KO) mice were generated and cephalometric analysis was performed. The heads of wild type (WT), heterozygous (Het) and homozygous Evc2 KO mice (1-, 3-, and 6-week-old) were prepared and cephalometric analysis based on the selected reference points on lateral X-ray radiographs was performed. The linear and angular bone measurements were then calculated, compared between WT, Het and KO and statistically analyzed at each time point. Our data showed that length of craniofacial bones in KO was significantly lowered by ∼20% to that of WT and Het, the growth of certain bones, including nasal bone, palatal length, and premaxilla was more affected in KO, and the reduction in these bone length was more significantly enhanced at later postnatal time points (3 and 6 weeks) than early time point (1 week). Furthermore, bone-to-bone relationship to cranial base and cranial vault in KO was remarkably changed, i.e. cranial vault and nasal bone were depressed and premaxilla and mandible were developed in a more ventral direction. Our study was the first to show the cause-effect relationship between Evc2 deficiency and craniofacial defects in EvC syndrome, demonstrating that Evc2 is required for craniofacial bone development and its deficiency leads to specific facial bone growth defect. Anat Rec, 299:1110-1120, 2016. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Mohammed K Badri
- Department of Molecular and Cell Biology, Henry M. Goldman School of Dental Medicine, Boston University, Boston, Massachusetts
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, Taibah University, Al-Madinah Al-Munawarah, Saudi Arabia
| | - Honghao Zhang
- Department of Biologic and Materials Sciences, School of Dentistry, University of Michigan, Ann Arbor, Michigan
| | - Yoshio Ohyama
- Department of Molecular and Cell Biology, Henry M. Goldman School of Dental Medicine, Boston University, Boston, Massachusetts
| | - Sundharamani Venkitapathi
- Department of Molecular and Cell Biology, Henry M. Goldman School of Dental Medicine, Boston University, Boston, Massachusetts
| | - Nobuhiro Kamiya
- Department of Biologic and Materials Sciences, School of Dentistry, University of Michigan, Ann Arbor, Michigan
- National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina
| | - Haruko Takeda
- Unit of Animal Genomics, GIGA-R and Faculty of Veterinary Medicine, University of Liège, Liège, 4000, Belgium
| | - Manas Ray
- National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina
| | - Greg Scott
- National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina
| | - Takehito Tsuji
- Graduate School of Environmental and Life Science, Okayama University, Okayama City, Japan
| | - Tetsuo Kunieda
- Graduate School of Environmental and Life Science, Okayama University, Okayama City, Japan
| | - Yuji Mishina
- Department of Biologic and Materials Sciences, School of Dentistry, University of Michigan, Ann Arbor, Michigan
- National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina
| | - Yoshiyuki Mochida
- Department of Molecular and Cell Biology, Henry M. Goldman School of Dental Medicine, Boston University, Boston, Massachusetts
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Shaik S, Raviraj J, Dirasantchu S, Venkata SS. Ellis-van Creveld syndrome with unusual oral and dental findings: A rare clinical entity. Dent Res J (Isfahan) 2016; 13:193-7. [PMID: 27076836 PMCID: PMC4810919 DOI: 10.4103/1735-3327.178213] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Ellis-van Creveld (EVC) syndrome, a form of skeletal and chondroectodermal dysplasia, is an autosomal recessive disorder characterized by a tetrad of disproportionate dwarfism, postaxial polydactyly, ectodermal dysplasia, and heart defects. In the present article, we hereby present a case of a 13-year-old girl of Indian ethnicity with EVC syndrome with a remarkable number of classical oral and dental features, with unusual findings such as taurodontism and talons cusp. Such dental findings were reported in few cases only. Despite the fact that oral manifestations play an important role in the diagnosis of EVC, only a few detailed reports have been published in the dental literature.
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Affiliation(s)
- Sameeulla Shaik
- Department of Oral Medicine and Radiology, CKS Theja Institute of Dental Sciences and Research, Tirupathi, Andhra Pradesh, India
| | - Jayam Raviraj
- Department of Oral Medicine and Radiology, CKS Theja Institute of Dental Sciences and Research, Tirupathi, Andhra Pradesh, India
| | - Suresh Dirasantchu
- Department of Oral Medicine and Radiology, CKS Theja Institute of Dental Sciences and Research, Tirupathi, Andhra Pradesh, India
| | - Suman S Venkata
- Department of Oral Medicine and Radiology, CKS Theja Institute of Dental Sciences and Research, Tirupathi, Andhra Pradesh, India
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Weiner DS, Jonah D, Leighley B, Dicintio MS, Holmes Morton D, Kopits S. Orthopaedic manifestations of chondroectodermal dysplasia: the Ellis-van Creveld syndrome. J Child Orthop 2013; 7:465-76. [PMID: 24432110 PMCID: PMC3886354 DOI: 10.1007/s11832-013-0541-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2013] [Accepted: 10/18/2013] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Ellis-van Creveld is a dwarfing syndrome transmitted as an autosomal recessive trait. The constant features of the condition include acromelic-micromelic dwarfism, ectodermal dysplasia involving the nails, teeth and gums, postaxial polydactyly of the hands and congenital heart disease. Congenital heart disease affects 50-60 % of all patients and nearly 50 % of patients die by 18 months of age from cardiopulmonary complications. This study is intended to characterise the orthopaedic manifestations of Ellis-van Creveld based on the authors' unique opportunity to interview and examine the largest group of patients to date in the literature. METHODS Detailed interviews, physical examinations and/or radiographs were available on 71 cases of Ellis-van Creveld syndrome. Data were collected from physical examinations, radiographs, computed tomography (CT) reconstruction and magnetic resonance imaging (MRI) of the knee. Pathoanatomy of the knee was reinforced by the direct surgical observation of 25 limbs surgically managed during adolescence and puberty. RESULTS A number of interesting clinical and radiographic abnormalities were noted in the upper extremities and lower extremities, but by far the most significant orthopaedic finding was a severe and relentlessly progressive valgus deformity of the knee. Although many patients had difficulties making a "fist" with the hand, no patient reported any functional disability. The severe valgus deformity of the knee is the result of a combination of profound contractures of the iliotibial band, lateral quadriceps, lateral hamstrings and lateral collateral ligament, leading to lateral patellar subluxation and dislocation. The lateral portion of the upper tibial plateau presents with cupping and progressive depression of the lateral plateau, along with severe valgus angulation of the proximal tibia and fibula. A proximal medial tibial exostosis is seen in nearly all cases. CONCLUSION This is the largest group of Ellis-van Creveld syndrome patients identified in the literature. An understanding of the orthopaedic pathoanatomy of the knee deformity is critical to determining the appropriate surgical management. This paper characterises the orthopaedic manifestations of Ellis-van Creveld syndrome and especially identifies the pathoanatomy of the severe and progressive valgus knee deformity. LEVEL OF EVIDENCE Level II.
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Affiliation(s)
- Dennis S. Weiner
- />Department of Pediatric Orthopaedic Surgery, Akron Children’s Hospital, 300 Locust Street, Ste. 160, Akron, OH 44302-1821 USA
- />Northeast Ohio Medical University, Rootstown, OH USA
- />Regional Skeletal Dysplasia Clinic, Akron Children’s Hospital, Akron, OH 44308 USA
| | - David Jonah
- />Little People’s Research Fund, Baltimore, MD 21228 USA
| | - Bonnie Leighley
- />Regional Skeletal Dysplasia Clinic, Akron Children’s Hospital, Akron, OH 44308 USA
- />Pediatric Orthopaedic Department, Akron Children’s Hospital, Akron, OH 44308 USA
| | - Martin S. Dicintio
- />Department of Pediatric Orthopaedic Surgery, Akron Children’s Hospital, Akron, OH 44308 USA
| | | | - Steven Kopits
- />International Center for Skeletal Dysplasia, Saint Joseph Hospital, Towson, MD 21204 USA
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Natal and neonatal teeth: an overview of the literature. ISRN PEDIATRICS 2013; 2013:956269. [PMID: 24024038 PMCID: PMC3759256 DOI: 10.1155/2013/956269] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/11/2013] [Accepted: 06/24/2013] [Indexed: 11/17/2022]
Abstract
The occurrence of natal and neonatal teeth is an uncommon anomaly, which for centuries has been associated with diverse superstitions among different ethnic groups. Natal teeth are more frequent than neonatal teeth, with the ratio being approximately 3 : 1. It must be considered that natal and neonatal teeth are conditions of fundamental importance not only for a dental surgeon but also for a paediatrician since their presence may lead to numerous complications. Early detection and treatment of these teeth are recommended because they may induce deformity or mutilation of tongue, dehydration, inadequate nutrients intake by the infant, and growth retardation, the pattern and time of eruption of teeth and its morphology. This paper presents a concise review of the literature about neonatal teeth.
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Singh S, Arya V, Daniel MJ, Vasudevan V. Ellis-van Creveld Syndrome: A Case Report. Int J Clin Pediatr Dent 2012; 5:72-4. [PMID: 25206139 PMCID: PMC4093642 DOI: 10.5005/jp-journals-10005-1138] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2011] [Accepted: 01/27/2012] [Indexed: 11/23/2022] Open
Abstract
Ellis-van Creveld syndrome also known as chondroectodermal dysplasia or mesoectodermal dysplasia; a rare genetic disorder of the skeletal dysplasia. ‘Six-fingered dwarfism’ (digital integer deficiency) was an alternative designation used for this condition when it was being studied in the Amish. It is characterized by short-limb dwarfism, polydactyly, malformation of the bones of the wrist, dystrophy of the fingernails, partial hare-lip, cardiac malformation and often prenatal eruption of the teeth. A typical case of Ellis-van Creveld syndrome is reported in the present article. How to cite this article: Singh S, Arya V, Daniel MJ, Vasudevan V. Ellis-van Creveld Syndrome: A Case Report . Int J Clin Pediatr Dent 2012;5(1):72-74.
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Affiliation(s)
- Subash Singh
- Lecturer, Department of Pedodontics and Preventive Dentistry Mahatma Gandhi Post Graduate Institute, Puducherry-605006, India e-mail:
| | - Vandana Arya
- Lecturer, Department of Oral Medicine and Radiology, Maharana Pratap College of Dentistry and Research Centre, Gwalior, Madhya Pradesh, India
| | - M Jonathan Daniel
- Professor and Head, Department of Oral Medicine and Radiology Mahatma Gandhi Post Graduate Institute, Puducherry, India
| | - Vijeev Vasudevan
- Professor, Department of Oral Medicine and Radiology Krishnadevaraya College of Dental Sciences and Hospital, Bengaluru Karnataka, India
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Veena KM, Jagadishchandra H, Rao PK, Chatra L. Ellis-van Creveld syndrome in an Indian child: a case report. Imaging Sci Dent 2011; 41:167-70. [PMID: 22232726 PMCID: PMC3251790 DOI: 10.5624/isd.2011.41.4.167] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2011] [Revised: 09/20/2011] [Accepted: 10/25/2011] [Indexed: 11/18/2022] Open
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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Affiliation(s)
- K M Veena
- Department of Oral Medicine and Radiology, Yenepoya Dental College, Yenepoya University, Mangalore, India
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Hegde K, Puthran RM, Nair G, Nair PP. Ellis van Creveld syndrome--a report of two siblings. BMJ Case Rep 2011; 2011:bcr.09.2011.4774. [PMID: 22675019 DOI: 10.1136/bcr.09.2011.4774] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Chondro-ectodermal dysplasia is a rare autosomal recessive disorder which affects the ectodermal, mesodermal and endodermal derivatives. There are numerous conditions reported under this title which include Ellis van Creveld syndrome. The oral findings include multiple gingivolabial frena, dental abnormality, malocclusion and hypodontia. The diagnosis of Ellis van Creveld syndrome is based on the presence of oral mucosal changes like notching of the lower alveolus, fusion of the upper lip and gingival mucosa; dental changes like oligodontia, conical shape of anterior teeth and occasional presence of neonatal teeth. The authors report a rare case of Ellis van Creveld syndrome occurring among two siblings with oral mucosal, dental and skeletal abnormalities.
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Affiliation(s)
- Karthik Hegde
- Oral Medicine and Radiology Department, People's College of Dental Sciences & Research Centre, Bhopal, Madhya Pradesh, India
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Shawky RM, Sadik DI, Seifeldin NS. Ellis–van Creveld syndrome with facial dysmorphic features in an Egyptian child. EGYPTIAN JOURNAL OF MEDICAL HUMAN GENETICS 2010. [DOI: 10.1016/j.ejmhg.2010.05.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Aminabadi NA, Ebrahimi A, Oskouei SG. Chondroectodermal dysplasia (Ellis-van Creveld syndrome): a case report. J Oral Sci 2010; 52:333-6. [DOI: 10.2334/josnusd.52.333] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Das D, Das G, Mahapatra TKS, Biswas J. Ellis van Creveld syndrome with unusual association of essential infantile esotropia. Oman J Ophthalmol 2010; 3:23-5. [PMID: 20606869 PMCID: PMC2886224 DOI: 10.4103/0974-620x.60017] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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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Affiliation(s)
- D. Das
- Departments of Ophthalmology and Pediatrics, R. G. Kar Medical College, Kolkata, India
| | - G. Das
- Departments of Ophthalmology and Pediatrics, R. G. Kar Medical College, Kolkata, India
| | - T. K. S. Mahapatra
- Departments of Ophthalmology and Pediatrics, R. G. Kar Medical College, Kolkata, India
| | - J. Biswas
- Departments of Ophthalmology and Pediatrics, R. G. Kar Medical College, Kolkata, India
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Castori M, Annessi G, Castiglia D, Buffa V, Paradisi A, Cascone P, Zambruno G, Grammatico P, Paradisi M. Systematized organoid epidermal nevus with eccrine differentiation, multiple facial and oral congenital scars, gingival synechiae, and blepharophimosis: a novel epidermal nevus syndrome. Am J Med Genet A 2009; 152A:25-31. [PMID: 20034083 DOI: 10.1002/ajmg.a.33175] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Epidermal nevus syndrome is a clinically variable and genetically heterogeneous group of mosaic conditions characterized by the concurrence of extensive epidermal nevus with additional cutaneous and extracutaneous manifestations. This term groups together well-characterized clinical entities, as well as dozens of apparently unique associations, which need further delineation. We report on a 23-year-old woman presenting the previously undescribed combination of widespread eccrine proliferation, multiple facial and oral pox-like lesions, gingival synechiae, blepharophimosis, body asymmetry, and mental retardation. The patient has a healthy monozygotic twin. The eccrine proliferation is intermingled with areas of unaffected skin with a linear/segmental distribution on the limbs. The clinical presentation of such a complex phenotype fits well with the genetic mosaicism theory. The histologic findings, consisting of proliferation of immature to well-formed eccrine duct-like structures located in the deep dermis and interspersed with an abundant fibrous stroma constituted of horizontally oriented collagen fibers, seem a possible hallmark of this condition.
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Affiliation(s)
- Marco Castori
- Medical Genetics, Department of Experimental Medicine, "Sapienza" University, San Camillo-Forlanini Hospital, Circ. ne Gianicolense, 87, I-00152 Rome, Italy.
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