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Nephronophthisis associated with Ellis-van Creveld syndrome
Authors:Asha Moudgil  Arvind Bagga  Elaine S. Kamil  David L. Rimoin  Ralph S. Lachman  Arthur H. Cohen  Stanley C. Jordan
Affiliation:(1) Ahmanson Department of Pediatrics, Cedars-Sinai Medical Center, Los Angeles, California, USA, US;(2) Department of Pathology, Cedars-Sinai Medical Center, Los Angeles, California, USA, US
Abstract:Ellis-van Creveld (EvC) and Jeune’s asphyxiating thoracic dystrophy (ATD) are related disorders characterized by narrow thoracic cage and short-limbed dwarfism. Some patients have overlapping features of both ATD and EvC, indicating that these syndromes may be a part of a disease spectrum. Nephronophthisis has been occasionally reported in patients with ATD, but not with EvC syndrome. We report a patient who was diagnosed with EvC syndrome at birth. He developed hypertension at 5 months of age and gradually progressive renal failure, requiring renal transplantation at 8 years. Histopathological findings in the nephrectomy specimen were indicative of nephronophthisis. The association of nephronophthisis in a patient with EvC syndrome has not been reported previously. This association further supports the hypothesis that ATD and EvC syndromes are related and represent a spectrum of disorders. Received February 24, 1997; received in revised form and accepted July 24, 1997
Keywords:: Nephronophthisis  Ellis-van Creveld syndrome  Jeune’  s asphyxiating thoracic dystrophy  Chronic renal failure  Renal transplantation
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