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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
"hypertension"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
aniridia
aromatase deficiency
cadasil
child syndrome
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cushing syndrome
cystinuria
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
fabry disease
familial hypocalciuric hypercalcemia
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kallmann syndrome
kindler syndrome
lamellar ichthyosis
lymphangioleiomyomatosis
pendred syndrome
primary effusion lymphoma
scrub typhus
severe combined immunodeficiency
sneddon syndrome
typhoid
von hippel-lindau disease
well-differentiated liposarcoma
werner syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
This symptom has already been validated