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[Holt-Oram syndrome and portal extrahepatic hypertension. A case report].
[holt-oram syndrome]
The
Holt-
Oram
syndrome
(
HOS
)
is
characterized
by
skeletal
abnormalities
,
frequently
accompanied
by
congenital
cardiac
defects
.
It
was
first
described
by
Holt
and
Oram
in
1960
.
It
has
a
prevalence
of
0
.
95
/
10
,
000
live
newborns
.
The
syndrome
shows
a
dominant
autosomic
heritance
with
high
penetrance
.
A
mutation
in
the
transcription
gene
factor
TBX
5
has
been
identified
.
This
factor
has
been
shown
to
be
important
in
the
heart
and
upper
extremities
development
.
A
17
year
-old
boy
with
muscle
-
skeletal
abnormalities
in
forearms
and
hands
,
with
implantation
defects
of
thumbs
and
narrow
shoulders
as
well
as
wide
atrial
septal
defect
type
osteum
secundum
.
He
also
showed
portal
cavernomatosus
degeneration
which
conditioned
portal
extrahepatic
hypertension
and
esophageal
varicose
veins
.
The
diagnosis
was
established
by
clinical
,
radiological
and
auxiliary
studies
.
His
parents
were
also
studied
,
and
they
did
not
show
abnormalities
.
Two
previous
cases
have
been
reported
in
the
Mexican
medical
literature
,
both
due
to
de
novo
genetic
mutation
.
However
,
none
has
been
associated
with
portal
cavernomatosus
degeneration
and
portal
hypertension
.
Diseases
Validation
Diseases presenting
"skeletal abnormalities"
symptom
22q11.2 deletion syndrome
aromatase deficiency
child syndrome
dentin dysplasia
dentinogenesis imperfecta
erdheim-chester disease
gm1 gangliosidosis
holt-oram syndrome
kabuki syndrome
kallmann syndrome
kindler syndrome
neonatal adrenoleukodystrophy
primary hyperoxaluria type 1
wolf-hirschhorn syndrome
zellweger syndrome
This symptom has already been validated