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Holt-Oram syndrome.

Corina Lichiardopol1, C Militaru, B Popescu

  • 1Department of Endocrinology, University of Medicine and Pharmacy of Craiova, Romania. corinalich@gmail.com

Romanian Journal of Morphology and Embryology = Revue Roumaine De Morphologie Et Embryologie
|May 16, 2007
PubMed
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Holt-Oram syndrome, a genetic disorder affecting heart and limb development, is caused by TBX5 gene mutations. This case highlights its varied symptoms in a young adult male.

Area of Science:

  • Genetics
  • Cardiology
  • Orthopedics

Background:

  • Holt-Oram syndrome (HOS), or atriodigital dysplasia, is an autosomal dominant disorder.
  • It results from mutations in the TBX5 gene, with near-complete penetrance and variable expression.
  • HOS affects approximately 1 in 100,000 live births, with 60% familial and 40% sporadic cases.

Observation:

  • A 24-year-old male presented with a complex medical history.
  • He had bilateral coxa vara, surgically treated on the right, with subsequent osteochondritis.
  • Additional features included short stature, underweight, distinctive facial features, scoliosis, upper and lower limb abnormalities, and cardiac defects.

Findings:

  • The patient exhibited a wide spectrum of HOS manifestations.

Related Experiment Videos

  • Key findings included atrial septal defect (ostium secundum type) and incomplete right bundle branch block.
  • Skeletal anomalies comprised bilateral coxa vara, left thumb agenesis, and abnormal toe development.
  • Implications:

    • This case underscores the significant phenotypic variability of Holt-Oram syndrome.
    • Early recognition and comprehensive management are crucial for patients with HOS.
    • Understanding TBX5 gene mutations aids in diagnosing and counseling affected families.