A Case of Catel Manzke Syndrome

ABSTRACT

Catel Manzke syndrome is characterized by hyperphalangy of the index fingers associated with Robin malformation sequence. The etiology of Catel Manzke syndrome is still uncertain, with the majority of cases being sporadic. Careful observation to recognize upper airway obstruction secondary to the Robin sequence should be made a part of routine care for newborns with this disorder. Failure to thrive is related to respiratory or cardiac problems. The vast majority of case have normal intelligence. With advancing age, the accessory bone fuses to the proximal phalangeal epiphysis. We report a neonate with the Pierre Robin triad, accessory bone between the second metacarpal and its proximal phalanx of the Rt hand, camptodactyly, coarctation of aorta and hydronephrosis of Lt kidney.