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Primary hypertrophic osteoarthropathy: another heritable disorder associated with patent ductus arteriosus

M Martínez-Lavín1, C Pineda, C Navarro

  • 1Instituto Nacional de Cardiología Ignacio Chávez, Rheumatology Service, México D.F.

Insights

Patent ductus arteriosus (PDA), a congenital heart defect, can co-occur with primary hypertrophic osteoarthropathy (HOA), a rare genetic disorder. Surgical PDA closure did not impact HOA

Area of Science:

  • Medical Genetics
  • Cardiology
  • Pediatrics

Background:

  • Patent ductus arteriosus (PDA) is a congenital heart defect associated with various genetic and chromosomal disorders.
  • Primary hypertrophic osteoarthropathy (HOA) is a rare inherited condition characterized by digital clubbing and bone overgrowth without other diseases.

Purpose of the Study:

  • To report on four patients presenting with both PDA and primary HOA.
  • To investigate the relationship between these two conditions.

Main Methods:

  • Case series describing four patients with coexisting PDA and primary HOA.
  • Evaluation of the impact of surgical PDA closure on skeletal manifestations of HOA.

Main Results:

  • Four patients with concurrent PDA and primary HOA were identified.
  • Surgical intervention for PDA did not alter the skeletal findings of primary HOA.

Conclusions:

  • Primary HOA should be considered in the spectrum of heritable disorders associated with PDA.
  • The findings suggest a potential genetic link between PDA and primary HOA.

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