The association of achondroplasia and Down's syndrome is very rare and only five cases have been reported in the literature so far. these two genetic alterations have overlapping features such as short stature, developmental delay or hypotonia that complicate management and follow up. We report the case of a girl that is unique since she was born from a mother with achondroplasia and a healthy father. Achondroplasia was dominantly inherited from the mother but at birth she had features of Down's syndrome as well, confirmed later by kariotype. We review her evolution regarding physical health, cognitive problems and adaptive behavior during her eight years of life. To our knowledge this is the first report of the combination of both disorders in which the achondroplasia was inherited and not a "de novo" mutation. We address the problems resulting from the additional burden of having two disorders, and how they can be improved, aiming to help others in the future to deal with these cases. © 2011 Fundació Catalana Síndrome de Down. Published by Elsevier España, S.L. All rights reserved.* Corresponding author. E-mail: sandra.santos.ped@gmail.com (S. Santos).
PALABRAS CLAVEAcondroplasia; Síndrome de Down; trastorno del desarrollo Acondroplasia y síndrome de Down: historia clínica de una asociación poco común Resumen La asociación entre acondroplasia y síndrome de Down es muy poco común y hasta hoy solamente se han descrito cinco casos en la bibliografía. Estas dos alteraciones genéticas tienen características que coinciden, como la baja estatura, el retraso en el desarrollo o la hipotonía, que complican el tratamiento y el seguimiento. Presentamos el caso de una niña que es único, ya que es hija de una madre con acondroplasia y un padre sano. La acondroplasia la heredó predominantemente de la madre, aunque en el nacimiento también presentó rasgos de síndrome de Down, confirmados Achondroplasia and Down's syndrome -case report of a rare association 27