Ophthalmologic Findings in H Syndrome: A Unique Diagnostic Clue.

Abstract:

BACKGROUND:H syndrome is an autosomal recessive histiocytosis with multisystemic involvement caused by mutations in the SLC29A3 gene. The term H syndrome was coined to denote the major clinical findings which include hyperpigmentation, hypertrichosis, hearing loss, hepatosplenomegaly, hypogonadism, hyperglycemia/diabetes mellitus and hallux valgus/flexion contractures. Almost 100 individuals affected with this disorder have been reported, however, a thorough evaluation of the ophthalmologic features of H syndrome has not yet been performed. MATERIALS AND METHODS:Ophthalmic examination of a 50-year-old male with H syndrome. Mutation analysis of SLC29A3 was also performed in this patient. RESULTS:Ophthalmic findings included; shallow orbits with exorbitism, bilateral pterygium, limbal thickening, corneal arcus and cortical cataract. We also review ophthalmologic findings in previously reported H syndrome patients. CONCLUSIONS:The presence of dilated lateral scleral vessels, corneal arcus and shallow orbits should raise the suspicion of H syndrome, especially when seen in young age.

journal_name

Ophthalmic Genet

journal_title

Ophthalmic genetics

authors

Molho-Pessach V,Mechoulam H,Siam R,Babay S,Ramot Y,Zlotogorski A

doi

10.3109/13816810.2014.886272

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

365-8

issue

4

eissn

1381-6810

issn

1744-5094

journal_volume

36

pub_type

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