Walker-clodius syndrome (lobster claw deformity with nasolacrimal obstruction; eec; ectrodactyly, ectodermal dysplasia, and cleft lip/palate) 1

General: Autosomal dominant; both sexes affected; onset from birth; association with chromosome 7 abnormalities.

Ocular: Hypertelorism; nasolacrimal obstruction with constant epiphora; mucopurulent conjunctival discharge; keratitis; nanocanalization of the lacrimal duct.

Clinical: Deformities of hands and feet ('lobster claw'); absence of both index and middle fingers and second metacarpals with rudimentary third metacarpals; syndactylism; cleft palate and lips; deafness; ear malformation; renal anomalies.

Fukushima Y, et al. The breakpoints of the EEC syndrome (ectrodactyly, ectodermal dysplasia, and cleft/lip palate confirmed to 7q11.21 and 9p12 by fluorescence in situ hybridization [Letter]. Clin Genet 1993; 44:50.

Walker JC, Clodius L. The syndromes of cleft lip, cleft palate and lobster claw deformities of hands and feet. Plast Reconstr Surg

Wiegmann OA, Walker FA. The syndrome of lobster claw deformity and nasolacrimal obstruction. J Pediatr Ophthalmol 1970; 7:79.