a rare case report of ellis van creveld syndrome in an indian patient and literature review

by Rashawn Torp DDS 5 min read

A rare case report of Ellis Van Creveld syndrome in an …

18 hours ago  · Introduction. Syndrome Ellis Van Creveld (EVC) or dysplasia chondroectodermal was described in 1940 by Richard W.B. Ellis and Simon Van Creveld as an rare autosomal … >> Go To The Portal


What is Ellis-Van Creveld syndrome?

Chondroectodermal dysplasia; EVC. Ellis-van Creveld syndrome is a rare genetic disorder that affects bone growth. Extra digits may be present as an isolated finding, or they may occur as part of a syndrome, in which case other abnormalities are usually present.

How is Ellis-Van Creveld syndrome inherited?

Ellis-Van Creveld syndrome is inherited as an autosomal recessive genetic condition. Recessive genetic disorders occur when an individual inherits two copies of an abnormal gene for the same trait, one from each parent.

How is Ellis-Van Creveld syndrome treated?

Children should be monitored so they can be treated with surgery to help guide their growth due to misalignment and malrotation of the lower extremities. Surgical procedures are required to remove extra fingers, correct heart defects and to correct knock-knee.

Is Ellis-Van Creveld syndrome fatal?

In the neonatal period, the leading causes of death are cardiac anomalies and thoracic dysplasia (with a narrow chest wall), with the latter causing severe respiratory compromise. Approximately 50% of patients with Ellis-van Creveld (EVC) syndrome die in early infancy as a consequence of cardiorespiratory problems.

What happens to a person with ectodermal dysplasia?

People with ectodermal dysplasia have a lack of sweat glands. This means they may not sweat or sweat less than normal. In children with the disease, their bodies may have a problem controlling fevers. When the skin cannot sweat, it is hard for the body to control temperature properly.

What does EvC mean in a blood test?

Ellis-van Creveld syndrome (EVC-related) is known as an autosomal recessive condition. For autosomal recessive conditions, if a person has a variation in one copy of their gene, they are a carrier.

How is the founder effect an example of genetic drift?

The founder effectfounder effectIn population genetics, the founder effect is the loss of genetic variation that occurs when a new population is established by a very small number of individuals from a larger population. It was first fully outlined by Ernst Mayr in 1942, using existing theoretical work by those such as Sewall Wright.https://en.wikipedia.org › wiki › Founder_effectFounder effect - Wikipedia is an extreme example of "genetic drift." Genes occurring at a certain frequency in the larger population will occur at a different frequency -- more or less often -- in a smaller subset of that population.

What is EvC in cardiology?

Ellis-van Creveld (EvC) syndrome is a rare autosomal recessive malformation disorder. Cardiac defects are observed in about 50% of EvC cases. Surgical data is lacking on the prognosis and life expectancy of EvC patients.

What is autosomal recessive?

In autosomal recessive inheritance, a genetic condition occurs when the child inherits one mutated copy of a gene from each parent. The parents usually do not have the condition. The parents are called carriers because they each carry one copy of the mutated gene and can pass it to their children.

Is achondroplasia hereditary?

Achondroplasia impairs the growth of bone in the limbs and causes abnormal growth in the spine and skull. Although the cause is a genetic mutation, only about one out of five cases is hereditary (passed down by a parent).

How many people have Williams syndrome?

Williams syndrome affects an estimated 1 in 7,500 to 18,000 people.

What is Noonan syndrome?

Noonan syndrome is a genetic disorder that prevents normal development in various parts of the body. A person can be affected by Noonan syndrome in a wide variety of ways. These include unusual facial characteristics, short stature, heart defects, other physical problems and possible developmental delays.

Abstract

Ellis-Van Creveld syndrome (EVCS) is an abnormal genetic condition of the EVC2 gene located on chromosome 4.

Introduction

Ellis-Van Creveld syndrome (EVCS) is also called chondroectodermal dysplasia. It is a rare genetic abnormality that is autosomal recessive in nature. The EVC gene is located in chromosome 4p16 which is plotted in the short arm of chromosome 4 [1,2,3]. This syndrome is due to the mutation within a non-homologous gene called the EVC2 gene.

Case Presentation

A child aged 4.5 years was brought by her parents with the chief complaints of fascial oedema which progressed to anasarca over two days. There was a marked increase in the effort needed to breathe along with an increased respiratory rate.

Discussion

EVCS is an autosomal recessive abnormality. As observed by Sharma et al., siblings had a risk of recurrence of 25% per offspring [11]. Patients are seen to have skeletal dysplasia. In the physeal growth zone, chondrocyte disorganisation in the cartilage of long bones was observed in foetuses with this syndrome.

Conclusions

EVCS is very rare and still an incurable condition but there could be several kinds of management for this syndrome. The presence of several rare cardiac anomalies like patent ductus arteriosus (PDA), ASD, and three pulmonary veins in our case is rare in association with this syndrome.