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[Oculo-facio-cardio-dental syndrome caused by BCOR gene mutations: a case report]
Yuan-Yuan Lu1, Zuo-Hui Zhang1, Xue Li
1Second Department of Pediatrics, Department of Neonatology, Weifang People's Hospital, Weifang, Shandong 261041, China.
Insights
Oculo-facio-cardio-dental syndrome, a rare genetic disorder, was diagnosed in a neonate with multiple congenital anomalies. Early genetic testing and prompt treatment are crucial for improving outcomes in affected infants.
Area of Science:
- Genetics
- Pediatric Cardiology
- Ophthalmology
Background:
- Oculo-facio-cardio-dental syndrome (OFCD) is a rare genetic disorder characterized by a spectrum of congenital anomalies.
- Infants with OFCD often present with complex heart defects, facial dysmorphisms, ocular abnormalities, and dental anomalies.
- Early diagnosis and management are critical for improving the prognosis of affected individuals.
Abstract:
A full-term female infant was admitted at 5 hours after birth due to heart malformations found during the fetal period and cyanosis once after birth. Mmultiple malformations of eyes, face, limbs, and heart were noted. The whole-exome sequencing revealed a pathogenic heterozygous mutation, c.2428C>T(p.Arg810*), in the BCOR gene. The infant was then diagnosed with oculo-facio-cardio-dental syndrome. He received assisted ventilation to improve oxygenation and nutritional support during hospitalization. Right ventricular double outlet correction was performed 1 month after birth. Ocular lesions were followed up and scheduled for elective surgery. The possibility of oculo-facio-cardio-dental syndrome should be considered for neonates with multiple malformations of eyes, face, and heart, and genetic testing should be performed as early as possible to confirm the diagnosis; meanwhile, active ophthalmic and cardiovascular symptomatic treatment should be given to improve the prognosis.
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