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Molecular genetic and ocular findings in patients with holt-oram syndrome.
[holt-oram syndrome]
The
autosomal
dominant
Holt-
Oram
syndrome
(
HOS
)
is
characterized
by
upper
limb
and
cardiac
septal
defects
.
Mutations
of
the
TBX
5
gene
have
been
identified
as
the
underlying
gene
defect
in
HOS
.
Embryonic
expression
of
TBX
5
has
been
found
in
the
human
retina
.
This
is
the
first
report
of
ocular
findings
in
two
unrelated
families
with
mutations
in
the
TBX
5
gene
.
Six
living
persons
affected
with
HOS
and
10
unaffected
family
members
were
subjected
to
mutation
analysis
and
complete
ophthalmological
examination
,
including
electrophysiological
examinations
(
EOG
and
flash
ERG
)
.
A
heterozygous
single
base-
pain
substitution
in
exon
5
(
408
C
-
-
>
A
)
was
detected
in
all
affected
patients
.
All
examined
affected
patents
were
ophthalmological
asymptomatic
with
normal
EOG
.
A
scotopic
elongated
b
-wave
latency
was
found
in
affected
family
members
who
were
older
than
35
years
.
The
ERG
was
normal
in
the
young
patients
.
Haploinsufficiency
of
TBX
5
alters
the
dorsal-ventral
polarity
in
developing
eye
vesicles
without
amy
detected
functional
loss
in
human
.
Slight
ERG
abnormalities
later
in
life
may
be
a
result
of
changes
induced
by
the
inner
ganglion
cell
layer
in
the
inner
nuclear
layer
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated