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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.

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