A rare case of arrhythmogenic right ventricular dysplasia presented without arrhythmia as congestive cardiac failure

It is a case of ARVD in young patient diagnosed with classical signs and symptoms correlated with ECG and 2D Echo findings, treated accordingly. ARVD can be found in association with diffuse palmoplantar keratoderma, and woolly hair, in an autosomal recessive condition called Naxos disease, because this genetic abnormality can also affect the integrity of the superficial layers of the skin most exposed to pressure stress.