Unilateral proximal focal femoral deficiency, fibular aplasia, tibial campomelia and oligosyndactyly in an Egyptian child – Probable FFU syndrome

We report a fifteen month old Egyptian male child, the third in order of birth of healthy non consanguineous parents, who has normal mentality, normal upper limbs and left lower limb. The right lower limb has short femur, and tibia with anterior bowing, and an overlying skin dimple. The right foot h...

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Main Authors: Rabah M. Shawky, Heba Salah Abd Elkhalek, Shaimaa Gad, Shaimaa Abdelsattar Mohammad
Format: Article
Language:English
Published: SpringerOpen 2014-07-01
Series:Egyptian Journal of Medical Human Genetics
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1110863014000500
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author Rabah M. Shawky
Heba Salah Abd Elkhalek
Shaimaa Gad
Shaimaa Abdelsattar Mohammad
author_facet Rabah M. Shawky
Heba Salah Abd Elkhalek
Shaimaa Gad
Shaimaa Abdelsattar Mohammad
author_sort Rabah M. Shawky
collection DOAJ
description We report a fifteen month old Egyptian male child, the third in order of birth of healthy non consanguineous parents, who has normal mentality, normal upper limbs and left lower limb. The right lower limb has short femur, and tibia with anterior bowing, and an overlying skin dimple. The right foot has also oligosyndactyly (three toes), and the foot is in vulgus position. There is limited abduction at the hip joint, full flexion and extension at the knee, limited dorsiflexion and plantar flexion at the ankle joint. The X-ray of the lower limb and pelvis shows proximal focal femoral deficiency, absent right fibula with shortening of the right tibia and anterior bowing of its distal third. The acetabulum is shallow. He has a family history of congenital cyanotic heart disease. Our patient represents most probably the first case of femur fibula ulna syndrome (FFU) in Egypt with unilateral right leg affection. We suggest that the condition in our patient may be due to a rare autosomal dominant mutation with possible gonadal mosaicism and with variable expression in the family, as limb anomaly in one child and cyanotic congenital heart disease in another child.
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spelling doaj.art-f68c9f86efd9423e8d6a9bc876b757102022-12-22T00:28:11ZengSpringerOpenEgyptian Journal of Medical Human Genetics1110-86302014-07-0115329930310.1016/j.ejmhg.2014.03.001Unilateral proximal focal femoral deficiency, fibular aplasia, tibial campomelia and oligosyndactyly in an Egyptian child – Probable FFU syndromeRabah M. Shawky0Heba Salah Abd Elkhalek1Shaimaa Gad2Shaimaa Abdelsattar Mohammad3Pediatric Department, Genetics Unit, Ain Shams University, EgyptPediatric Department, Genetics Unit, Ain Shams University, EgyptPediatric Department, Genetics Unit, Ain Shams University, EgyptRadio Diagnosis Department, Ain Shams University, EgyptWe report a fifteen month old Egyptian male child, the third in order of birth of healthy non consanguineous parents, who has normal mentality, normal upper limbs and left lower limb. The right lower limb has short femur, and tibia with anterior bowing, and an overlying skin dimple. The right foot has also oligosyndactyly (three toes), and the foot is in vulgus position. There is limited abduction at the hip joint, full flexion and extension at the knee, limited dorsiflexion and plantar flexion at the ankle joint. The X-ray of the lower limb and pelvis shows proximal focal femoral deficiency, absent right fibula with shortening of the right tibia and anterior bowing of its distal third. The acetabulum is shallow. He has a family history of congenital cyanotic heart disease. Our patient represents most probably the first case of femur fibula ulna syndrome (FFU) in Egypt with unilateral right leg affection. We suggest that the condition in our patient may be due to a rare autosomal dominant mutation with possible gonadal mosaicism and with variable expression in the family, as limb anomaly in one child and cyanotic congenital heart disease in another child.http://www.sciencedirect.com/science/article/pii/S1110863014000500Short femurLimb anomalyFFU syndromeProximal focal femoral deficiencyFibular aplasiaTibial campomeliaOligosyndactyly
spellingShingle Rabah M. Shawky
Heba Salah Abd Elkhalek
Shaimaa Gad
Shaimaa Abdelsattar Mohammad
Unilateral proximal focal femoral deficiency, fibular aplasia, tibial campomelia and oligosyndactyly in an Egyptian child – Probable FFU syndrome
Egyptian Journal of Medical Human Genetics
Short femur
Limb anomaly
FFU syndrome
Proximal focal femoral deficiency
Fibular aplasia
Tibial campomelia
Oligosyndactyly
title Unilateral proximal focal femoral deficiency, fibular aplasia, tibial campomelia and oligosyndactyly in an Egyptian child – Probable FFU syndrome
title_full Unilateral proximal focal femoral deficiency, fibular aplasia, tibial campomelia and oligosyndactyly in an Egyptian child – Probable FFU syndrome
title_fullStr Unilateral proximal focal femoral deficiency, fibular aplasia, tibial campomelia and oligosyndactyly in an Egyptian child – Probable FFU syndrome
title_full_unstemmed Unilateral proximal focal femoral deficiency, fibular aplasia, tibial campomelia and oligosyndactyly in an Egyptian child – Probable FFU syndrome
title_short Unilateral proximal focal femoral deficiency, fibular aplasia, tibial campomelia and oligosyndactyly in an Egyptian child – Probable FFU syndrome
title_sort unilateral proximal focal femoral deficiency fibular aplasia tibial campomelia and oligosyndactyly in an egyptian child probable ffu syndrome
topic Short femur
Limb anomaly
FFU syndrome
Proximal focal femoral deficiency
Fibular aplasia
Tibial campomelia
Oligosyndactyly
url http://www.sciencedirect.com/science/article/pii/S1110863014000500
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