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2010, Number 6

Rev Med Inst Mex Seguro Soc 2010; 48 (6)

Holt-Oram syndrome associated with facial anomalies. A case report

Aviña-Fierro JA, Colonnelli-Barba G
Full text How to cite this article

Language: Spanish
References: 8
Page: 657-659
PDF size: 38.02 Kb.


Key words:

Holt-Oram syndrome, congenital abnormalities.

ABSTRACT

Cardiomyelic syndromes have skeletal malformations of the upper limb and congenital heart disease, and are related to mutations in transcription factors with T-Box domains. Holt-Oram syndrome is characterized by upper-extremity malformations involving the radial, thenar, or carpal bones and congenital heart defects. It is inherited in an autosomal dominant manner, a mutation in TBX5 gene located on chromosome 12 (12q24.1) is associated with variable phenotypes. This is an unusual case of a patient with Holt-Oram syndrome associated with facial anomalies: hemifacial microsomia on the right side, forehead prominent and tall, hypertelorism, depressed nasal bridge, low set ears and micrognathia. The presentation broadens the clinical spectrum with delineation of facial dysmorphic features.


REFERENCES

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  2. Shastri N. Picture of the month. Holt-Oram syndrome. Arch Pediatr Adolesc Med 2007;161(7): 711. Disponible en http://archpedi.ama-assn.org/ cgi/reprint/161/7/711

  3. McDermott DA, Bressan MC, He J, Lee JS, Aftimos S, Brueckner M, et al. TBX5 genetic testing validates strict clinical criteria for Holt- Oram syndrome. Pediatr Res 2005;58(5):981- 986.

  4. Holt M, Oram S. Familial heart disease with skeletal malformations. Br Heart J 1960;22:236. Disponible en http://www.ncbi.nlm.nih.gov/pmc/ articles/PMC1017650/pdf/brheartj00367-0084. pdf

  5. Huang T. Current advances in Holt-Oram syndrome. Curr Opin Pediatr 2002;14(6):691-695.

  6. Kantaputra PN, Yamasaki K, Ishida T, Kishino T, Niikawa N. A dominantly inherited malformation syndrome with short stature, upper limb anomaly, minor craniofacial anomalies, and absence of TBX5 mutations: report of a Thai family. Am J Med Genet 2002;111(3):301-306.

  7. Allanson JE, Newbury-Ecob RA. Holt-Oram syndrome: is there a “face”? Am J Med Genet A 2003; 118A(4):314-318.

  8. Lichiardopol C, Militaru C, Popescu B, Hila G, Mixich F. Holt-Oram syndrome. Rom J Morphol Embryol 2007;48(1):67-70. Disponible en http://www.rjme. ro/RJME/resources/files/4801070 67070.pdf




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CÓMO CITAR (Vancouver)

Rev Med Inst Mex Seguro Soc. 2010;48