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Floating-Harbor syndrome: Presentation of the first Romanian patient with a SRCAP mutation and review of the literature Cover

Floating-Harbor syndrome: Presentation of the first Romanian patient with a SRCAP mutation and review of the literature

Open Access
|Oct 2018

Figures & Tables

Figure 1

Frontal view of the patient’s face showing dysmorphic facial features: a triangularly-shaped face, deep-set eyes, long eyelashes, low-set malformed ears, a long nose with narrow bridge, a short philtrum, thin lips.

Table 1

Comparison of clinical features reported in the literature (cases with a SRCAP gene mutation) and in our present patient.

FeaturesLiteratureThis Study
References[4][5][6][8]
Facial gestalt13/136/652/525/5[+]
Language delay13/136/652/525/5[+]
Growth deficiency13/136/639/525/5[+]
Delayed bone age13/136/623/254/5a[+]
Skeletal anomalies10/136/6[+]b5/5[+]
Intellectual disability6/133/637/43c4/5[+]
Behavioral problemsNRNR[+]d3/5[+]
Eye anomalies4/132/613/430/5[–]
Ear anomalies4/130/615/522/5[–]
Dental issues4/13eNR21/381/5[+]
Genitourinary malformations8/131/65/240/5[+]
Cardiac malformations3/133/63/520/5[–]
Gastrointestinal malformations2/130/65/240/5[–]
Seizures0/131/66/520/5[–]
HypothyroidismNR0/62/520/5[–]

NR: not reported; ADHD: attention deficit hyperactivity disorder.

a The X-ray for bone age was not available in one case.

b The authors report on different skeletal anomalies: broad thumb in 10/17 patients, broad toes, brachydactyly, broad fingertips (described as frequent), clavicular anomalies (six patients), hip dysplasia (four cases).

c Patients with learning difficulties.

d The authors report obsessive tendencies, rigid mannerisms (7/25) and ADHD (9/32).

e Not reported in eight cases.

Table 2

Checklist of Floating-Harbor syndrome clinical features to facilitate clinical diagnosis and management.

FeaturesCategory
Characteristic facemandatorya
Language delaymandatory
Short staturefrequenta
Delayed bone agefrequent
Skeletal anomaliesfrequent
Intellectual disabilityfrequent
Behavioral problemsrecurrentb
Eye anomaliesrecurrent
Ear anomaliesrecurrent
Dental issuesrecurrent
Genitourinary malformationsinfrequentb
Cardiac malformationsinfrequent
Gastrointestinal featuresinfrequent
Seizuresinfrequent
Hypothyroidisminfrequent

FHS: Floating-Harbor syndrome.

a Diagnosis of FHS requires meeting both mandatory criteria and at least one criterion from the frequent features category.

a Diagnosis of FHS requires meeting both mandatory criteria and at least one criterion from the frequent features category.

b Recurrent and infrequent categories include features that are not required for diagnosis, but further support FHS diagnosis and guide the clinical evaluation, planning and patient care, if present.

b Recurrent and infrequent categories include features that are not required for diagnosis, but further support FHS diagnosis and guide the clinical evaluation, planning and patient care, if present.

DOI: https://doi.org/10.2478/bjmg-2018-0005 | Journal eISSN: 2199-5761 (formerly 1311-0160) | Journal ISSN: 1311-0160
Language: English
Page range: 83 - 86
Published on: Oct 29, 2018
Published by: Macedonian Academy of Sciences and Arts
In partnership with: Paradigm Publishing Services

© 2018 M Budisteanu, N Bögershausen, SM Papuc, S Moosa, M Thoenes, D Riga, A Arghir, B Wollnik, published by Macedonian Academy of Sciences and Arts
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.