Zinsser-Engman-Cole Syndrome Presenting as Partial Limbal Stem Cell Deficiency

Purpose: To report a case of partial limbal stem cell deficiency and characteristic mucocutaneous triad in an 11-year-old boy. Methods: Systemic features along with ocular features are described in this case report. Results: Ophthalmic evaluation showed bilateral partial limbal stem cell deficiency (LSCD) and systemic examination revealed characteristic mucocutaneous triad of oral leukoplakia, skin hypopigmentation, and nail dystrophy suggestive of the Zinsser-Engman-Cole syndrome or dyskeratosis congenita. Conclusions: Thorough ocular and systemic evaluation can help in clinching the diagnosis of this rare condition. Timely referral to a dermatologist and hemato-oncologist would help in the management of life-threatening complications like malignancy or progressive bone marrow failure.