J Pediatr Genet 2019; 08(03): 160-162
DOI: 10.1055/s-0039-1684028
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Esophageal Atresia and Thenar Hypoplasia Associated with Asymmetric Crying Face

Hatice Mutlu-Albayrak
1   Department of Pediatric Genetics, Cengiz Gökçek Maternity and Children's Hospital, Gaziantep, Turkey
,
Çağrı Damar
2   Department of Pediatric Radiology, Cengiz Gökçek Maternity and Children's Hospital, Gaziantep, Turkey
,
Gürkan Gürbüz
3   Department of Pediatric Neurology, Cengiz Gökçek Maternity and Children's Hospital, Gaziantep, Turkey
› Author Affiliations
Further Information

Publication History

15 January 2019

21 February 2019

Publication Date:
01 April 2019 (online)

Abstract

Asymmetric crying face (ACF) is a minor congenital anomaly that is often associated with a high rate of major malformations and may be considered an indication of a syndromic clinical presentation. Here, we report a 21-month-old male presenting with left- sided ACF, thenar hypoplasia, and esophageal atresia. Ultrasonographic images of the volar surface of the left hand evidenced the absence of muscle tissue around the thenar prominence at the level of the first metacarpal bone. No pathogenic copy number variation was detected on array-comparative genomic hybridization analysis (CGH). The association of esophageal atresia, thenar hypoplasia, and ACF has not been reported before. We discuss the possibility of a distinct association or of a sequence of anomalies associated with ACF.

 
  • References

  • 1 Lin DS, Huang FY, Lin SP. , et al. Frequency of associated anomalies in congenital hypoplasia of depressor anguli oris muscle: a study of 50 patients. Am J Med Genet 1997; 71 (02) 215-218
  • 2 Aslan Y, Mocan H, Erduran E, Aynaci M, Okten A. Asymmetric crying facies: an index of other malformations. Turk J Pediatr 1996; 38 (02) 271-276
  • 3 Gayler GG. An “epidemic” of congenital facial paresis and heart disease. Pediatrics 1967; 40 (04) 666-668
  • 4 Dubnov-Raz G, Merlob P, Geva-Dayan K, Blumenthal D, Finkelstein Y. Increased rate of major birth malformations in infants with neonatal “asymmetric crying face”: a hospital-based cohort study. Am J Med Genet A 2007; 143 (04) 305-310
  • 5 Bawle EV, Conard J, Van Dyke DL, Czarnecki P, Driscoll DA. Seven new cases of Cayler cardiofacial syndrome with chromosome 22q11.2 deletion, including a familial case. Am J Med Genet 1998; 79 (05) 406-410
  • 6 Pasick C, McDonald-McGinn DM, Simbolon C, Low D, Zackai E, Jackson O. Asymmetric crying facies in the 22q11.2 deletion syndrome: implications for future screening. Clin Pediatr (Phila) 2013; 52 (12) 1144-1148
  • 7 Lahat E, Heyman E, Barkay A, Goldberg M. Asymmetric crying facies and associated congenital anomalies: prospective study and review of the literature. J Child Neurol 2000; 15 (12) 808-810
  • 8 de Jong EM, Felix JF, Deurloo JA. , et al. Non-VACTERL-type anomalies are frequent in patients with esophageal atresia/tracheo-esophageal fistula and full or partial VACTERL association. Birth Defects Res A Clin Mol Teratol 2008; 82 (02) 92-97
  • 9 Stoll C, Alembik Y, Dott B, Roth MP. Associated anomalies in cases with esophageal atresia. Am J Med Genet A 2017; 173 (08) 2139-2157