Two more diagnostic signs in the Floating-Harbor syndrome
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Published on: August 29, 2016
1Department of Medical Genetics, Family Federation of Finland, Helsinki.
Insights
Floating-Harbor syndrome (F-HS) may present with a high-pitched voice and extra incisor. This rare genetic disorder also shows a higher incidence of coeliac disease in affected individuals.
Area of Science:
- Genetics
- Pediatrics
- Clinical Medicine
Background:
- Floating-Harbor syndrome (F-HS) is a rare genetic disorder.
- Characterized by distinctive facial features, developmental delays, and short stature.
- Previously reported cases are sporadic.
Observation:
- A 6-year-old boy with F-HS presented with unique symptoms.
- He exhibited an exceptionally high-pitched voice and a supernumerary upper incisor.
- Facial features and delayed speech development were characteristic, though his short stature was milder than typical.
Findings:
- The patient had elevated gliadin antibody levels, suggesting coeliac disease.
- Coeliac disease has been noted in 3 of 15 previously reported F-HS patients.
- The high-pitched voice and supernumerary incisor are proposed as additional diagnostic markers for F-HS.
Implications:
- These findings may aid in the earlier diagnosis of Floating-Harbor syndrome.
- Highlights the potential association between F-HS and coeliac disease.
- Further research could refine diagnostic criteria and understanding of F-HS comorbidities.
Abstract:
A 6-year-old boy with the Floating-Harbor syndrome (F-HS) is described. We propose that his exceptionally high-pitched voice and supernumerary upper incisor are additional diagnostic signs of F-HS. The elevated gliadin antibody levels suggest coeliac disease, which has been described in three out of the 15 previously reported F-HS patients. His facial features and delayed speech development are very characteristic but his shortness (-3 SD) is milder than usual. The patient is a sporadic case like all the F-HS cases so far.
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