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      A case report of focal dermal hypoplasia-Goltz syndrome

      case-report

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          Abstract

          Goltz syndrome is a rare multisystem disorder with cutaneous, ocular, dental and skeletal abnormalities. Other mesoectodermal abnormalities are also present. Its hallmark is thinning of the dermis resulting subcutaneous fat herniation. The present case is a 5 year old girl having linear skin atrophy with fat herniation, skeletal abnormalities in the form of polysyndactyly, facial asymmetry, squint with coloboma iris, deformed pinna, abnormal dentition, umbilical hernia along with osteopathia striata of long bones which is consistent with Goltz syndrome. We are presenting this case due to its rarity.

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          Focal dermal hypoplasia.

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            Focal dermal hypoplasia (Goltz syndrome).

            A 7-year-old girl born of non-consanguineous marriage was evaluated for facial dysmorphism. She had multiple skeletal anomalies like hypoplasia of the right mandible, narrow nasal bridge with broad tip and unilateral notching of the right ala nasi, concomitant squint and low set ears. She also had generalized hypopigmented, atrophic linear macules, multiple papillomas, fat herniations, umbilical hernia, hypoplastic nails, cicatricial alopecia, mild mental retardation, 'lobster-claw' hand and osteopathia striata of long bones, pointing to a diagnosis of Goltz syndrome. The unusual features noted were absence of the left first rib and aortic regurgitation.
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              Focal dermal hypoplasia syndrome. Case report and literature review.

              Focal dermal hypoplasia is a rare mesoectodermal hypoplasia found primarily in females. It is characterized by linear hypoplasia of the skin and tumors of fat or lipomatous lesions. There are significant defects of the skeleton, dental structures, eyes, soft tissues, and skin. A rare example of a young man with this syndrome is reported, and a review of 125 cases from the literature is presented.
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                Author and article information

                Journal
                Indian Dermatol Online J
                Indian Dermatol Online J
                IDOJ
                Indian Dermatology Online Journal
                Medknow Publications & Media Pvt Ltd (India )
                2229-5178
                2249-5673
                Jul-Sep 2013
                : 4
                : 3
                : 241-243
                Affiliations
                [1]Department of Pediatrics, Medical College, Vadodara, Gujarat, India
                [1 ]Department of Dermatology, Medical College, Vadodara, Gujarat, India
                Author notes
                Address for correspondence: Dr. Sejal Thakkar, Department of Dermatology, 202, Wings Ville; 41, Arunoday Society, Alkapuri, Vadodara - 09, Gujarat, India. E-mail: drsejal98@ 123456gmail.com
                Article
                IDOJ-4-241
                10.4103/2229-5178.115535
                3752490
                23984248
                aef010ef-4e58-43d4-b5cb-063e8672a549
                Copyright: © Indian Dermatology Online Journal

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Case Report

                Dermatology
                focal dermal hypoplasia,fat herniation,goltz syndrome
                Dermatology
                focal dermal hypoplasia, fat herniation, goltz syndrome

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