Korean J Dermatol.  2009 Apr;47(4):487-490.

A Case of Oculo-auriculo-vertebral (OAV) Syndrome

Affiliations
  • 1Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea. drds75@medimail.co.kr

Abstract

We present a patient with various features of oculo-auriculo-vertebral syndrome (OAVS), also known as Goldenhar's syndrome. In general, multiple accessory tragi in a linear distribution from the preauricular skin to the mandible or to the lateral neck suggest a diagnosis of OAVS. However, in most cases, an accessory tragus is an isolated developmental defect without an associated congenital syndrome. A female infant presented with a solitary, skin colored, sessile papule on the right lower cheek, microtia, and ear deformity since birth. A biopsy specimen showed numerous irregularly spaced hair follicles with a prominent connective tissue framework in the subcutaneous fat, but without central cartilage. Multiple congenital anomalies, including ocular lipodermoid, sensorineural hearing loss, and vertebral deformity, were found on further evaluation.

Keyword

Accessory tragus; Goldenhar syndrome; Oculo-auriculo-vertebral spectrum

MeSH Terms

Biopsy
Cartilage
Cheek
Congenital Abnormalities
Connective Tissue
Ear
Female
Goldenhar Syndrome
Hair Follicle
Hearing Loss, Sensorineural
Humans
Infant
Mandible
Neck
Parturition
Skin
Subcutaneous Fat
Congenital Abnormalities
Ear
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