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Nayak S, Shrivastava AK. Exotropia in a case of Ellis Van Creveld syndrome: A rare case report. Indian J Ophthalmol 2022; 70:2748-2750. [PMID: 35791234 PMCID: PMC9426087 DOI: 10.4103/ijo.ijo_2551_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Affiliation(s)
- Swatishree Nayak
- Department of Ophthalmology, All India Institute of Medical Sciences, Raipur, Chattisgarh, India
| | - Ankur K Shrivastava
- Department of Ophthalmology, All India Institute of Medical Sciences, Raipur, Chattisgarh, India
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Prajapati K, Pathak J, Sailor V, Adrejiya P. Late survival in Ellis-van Creveld syndrome with common single atrium. BMJ Case Rep 2021; 14:e239663. [PMID: 33762274 PMCID: PMC7993251 DOI: 10.1136/bcr-2020-239663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/03/2021] [Indexed: 11/03/2022] Open
Abstract
Ellis-van Creveld (EVC) syndrome is a relatively rare chondroectodermal dysplasia considered mainly as a generalised disorder of the maturation of endochondral ossification. Congenital heart disease occurs in approximately half of the patients with EVC syndrome, 60% of which is a common atrium. Common atrium is a rare variety of interatrial communication characterised by absence or virtual absence of the atrial septum. Patients with this syndrome rarely survive to an old age. We report a case of EVC who presented for the first time at 60 years of age, as survival to an advanced age is exceptional in case of EVC.
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Affiliation(s)
| | - Jaya Pathak
- Medicine, Baroda Medical College, Vadodara, Gujarat, India
| | - Vikranti Sailor
- Medicine department, Baroda Medical College, Vadodara, Gujarat, India
| | - Parth Adrejiya
- Medicine department, Baroda Medical College, Vadodara, Gujarat, India
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Romano F, Albertini GC, Arrigo A, Leone PP, Bandello F, Battaglia Parodi M. Usher syndrome in a patient with Ellis–van Creveld syndrome. Eur J Ophthalmol 2020; 30:NP38-NP40. [DOI: 10.1177/1120672119841778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose: To describe a case of Ellis–van Creveld syndrome with concomitant Usher syndrome. Methods: A 24-year-old lady with a diagnosis of Ellis–van Creveld syndrome came to our attention in 2015 complaining of nyctalopia. She underwent yearly ophthalmologic examinations, including visual acuity, dilated fundoscopy, optical coherence tomography and colour fundus photography. Results: On the day of her first examination, her visual acuity was 20/20, whereas fundus examination revealed diffuse peripheral retinal atrophy with pigmented bone spicules, waxy pallor of the disc and macular sparing in both eyes, compatible with retinitis pigmentosa. Due to the severe retinitis pigmentosa phenotype for the age and the concomitant neurosensory hearing loss, ancillary electrophysiological and genetic tests were requested. At the end of follow-up, visual function remained stable, with electroretinogram tests confirming the peripheral dysfunction. Interestingly, next generation sequencing test revealed a mutation in USH2A gene, suggestive of an overlapping Usher syndrome. On optical coherence tomography angiography, all plexuses appeared altered, with some degree of impairment also in the choriocapillaris of the spared macula. Conclusion: Our report emphasizes the advantage of new genetic tests to investigate atypical presentations of known retinal disorders found in syndromic settings. In addition, we speculate that the underlying ciliopathy might possibly aggravate the phenotype of this case of Usher syndrome.
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Affiliation(s)
- Francesco Romano
- Department of Ophthalmology, Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
| | | | - Alessandro Arrigo
- Department of Ophthalmology, Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
| | | | - Francesco Bandello
- Department of Ophthalmology, Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
- Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
| | - Maurizio Battaglia Parodi
- Department of Ophthalmology, Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
- Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
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Tahririan D, Eshghi A, Givehchian P, Tahririan MA. Chondroectodermal dysplasia: a rare syndrome. JOURNAL OF DENTISTRY (TEHRAN, IRAN) 2014; 11:361-4. [PMID: 25628672 PMCID: PMC4290765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2013] [Accepted: 03/20/2014] [Indexed: 11/16/2022]
Abstract
Chondroectodermal dysplasia (Ellis-Van Creveld syndrome) is a rare autosomal recessive congenital abnormality. This syndrome is characterized by a spectrum of clinical findings, among which chondrodystrophy, polydactyly, ectodermal dysplasia, and congenital cardiac anomalies are the most common. It is imperative to not overlook the cardiac complications in patients with this syndrome during dental procedures. The case presented here, although quite rare, was detected under normal conditions and can be alarming for dental care providers. Clinical reports outline the classical and unusual oral and dental manifestations, which help health care providers diagnose chondroectodermal dysplasia, and refer patients with this syndrome to appropriate health care professionals to receive treatment to prevent further cardiac complications and bone deformities.
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Affiliation(s)
- Dana Tahririan
- Resident, Department of Pediatric Dentistry, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran,Corresponding author: D. Tahririan Department of Pediatric Dentistry, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran,
| | - Alireza Eshghi
- Associate Professor of Pediatric Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Pirooz Givehchian
- Resident, Department of Prosthodontics, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mohammad Ali Tahririan
- Assistant Professor of Orthopedics, Isfahan University of Medical Science, Isfahan, Iran
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Jayaraj D, Maheswaran T, Suresh R, Ganapathy N. Ellis-van Creveld. JOURNAL OF PHARMACY AND BIOALLIED SCIENCES 2012; 4:S153-6. [PMID: 23066239 PMCID: PMC3467917 DOI: 10.4103/0975-7406.100257] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2011] [Revised: 01/02/2012] [Accepted: 01/26/2012] [Indexed: 11/04/2022] Open
Abstract
Ellis-van Creveld (EVC) syndrome is an autosomal recessive disorder that is also known as chondro-ectodermal dysplasia. The common manifestations of this syndrome are short ribs, postaxial polydactyly, growth retardation, and ectodermal and cardiac defects. The present case report is about an 8-year-old boy who had the features of bilateral hexadactyly, knocked knees, cardiac problems, congenital absence of incisors, fused upper and lower labial frenulum, and mulberry molars.
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Affiliation(s)
- Dhandabani Jayaraj
- Department of Pediatric and Preventive Dentistry, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth University, Pillaiyarkuppam, Puducherry, India
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Mishra T, Routray SN, Das B. Late survival in Ellis-van Creveld syndrome - a case report. Indian Heart J 2012; 64:408-11. [PMID: 22929827 PMCID: PMC3860683 DOI: 10.1016/j.ihj.2012.06.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2012] [Revised: 04/23/2012] [Accepted: 06/15/2012] [Indexed: 10/28/2022] Open
Abstract
Ellis-van Creveld syndrome (EVC) is an autosomal recessive disorder characterized by chondrodystrophy, polydactyly, ectodermal dysplasia, and cardiac anomalies. Acromelic shortening of upper and lower limbs, genu valgum, multiple frenula, deformed teeth, short ribs and narrow thorax and congenital heart diseases complete the picture. The patients with the syndrome rarely survive into adulthood. Here, we report a lady with EVC presenting for the first time in middle age.
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Affiliation(s)
- Trinath Mishra
- Department of Cardiology, SCB Medical College, Cuttack, Odisha, 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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