A rare association of Pierre Robins sequence with bilateral developmental dysplasia of hip—A case report

Four year old female child brought by her mother with history of difficulty in swallowing with frequent leaks of fluids through nose on feeding, speech difficulties, poor growth and abnormal gait. Intelligence was normal. No other members in her family had similar problems. Thorough clinical examination revealed Pierre Robin sequence like facial features, like micrognathia, U shaped cleft palate, glossoptosis with multiple caries in teeth and hypoplastic midface. Hearing and vision were normal. Child also showed hypoplastic thumb, exaggerated lumbar lardosis and bilateral developmental dysplasia of hips. Radiological examination showed bilateral dysplastic hips with acetabular index around 45̊°on both sides. Skeletal survey radiography ruled out features of spondyloepiphyseal dysplasia. Such a combination of Pierre Robins sequence with bilateral dysplastic hips are rare association and have been described only few times in literature.