Heart-hand syndromes explained

Heart-hand syndromes
Synonym:Atriodigital dysplasia
Field:Medical genetics

Heart-hand syndromes are a group of rare diseases that manifest with both heart and limb deformities.[1] [2] [3] [4]

, known heart-hand syndromes include Holt–Oram syndrome, Berk–Tabatznik syndrome, brachydactyly-long thumb syndrome, patent ductus arteriosus-bicuspid aortic valve syndrome, heart hand syndrome, Slovenian type and Heart-hand syndrome, Spanish type.[5]

Types

Heart-hand syndrome type 1

See main article: Holt–Oram syndrome.

Heart-hand syndrome type 1 is more commonly known as Holt–Oram syndrome. Is the most prevalent form of heart-hand syndrome.[1]

It is an autosomal dominant disorder that affects bones in the arms and hands (the upper limbs) and may also cause heart problems. The syndrome includes an absent radial bone in the arms, an atrial septal defect, and a first degree heart block.[6]

Heart-hand syndrome type 2

See main article: Berk–Tabatznik syndrome.

Heart-hand syndrome type 2 is also known as Berk–Tabatznik syndrome. Berk–Tabatznik syndrome is a condition with an unknown cause that shows symptoms of short stature, congenital optic atrophy and brachytelephalangy. This condition is extremely rare with only two cases being found.[7]

Heart-hand syndrome type 3

See main article: Heart-hand syndrome, Spanish type. Heart-hand syndrome type 3 is very rare and has been described only in three members of a Spanish family. It is also known as Heart-hand syndrome, Spanish type.[8] [9]

Heart-hand syndrome, Slovenian type

See main article: Heart-hand syndrome, Slovenian type. Several people in multiple generations have had this type. It causes sudden cardiac death due to ventricular tachycardia, and it prominently causes a unique type of brachydactyly with mild hand involvement and more severe foot involvement.[10]

Brachydactyly-long thumb syndrome

See main article: Brachydactyly-long thumb syndrome. Described in one family. A unique feature in the syndrome is symmetric brachydactyly with long thumbs.[11]

Patent ductus arteriosus-bicuspid aortic valve syndrome

It has been confirmed that Patent ductus arteriosus-bicuspid aortic valve syndrome is a distinct syndrome from an allelic variant of Char syndrome. Hand anomalies include metacarpal hypoplasia.[12]

Genetics

It is unknown if heart-hand syndromes are caused by shared or distinct genetic defects. It has been claimed that congenital heart diseases are caused by a limited number of shared genetic defects.[1]

Holt–Oram syndrome, Brachydactyly-long thumb syndrome, Patent ductus arteriosus-bicuspid aortic valve syndrome and Heart-hand syndrome, Slovenian type are known to be autosomally dominant disorders.

Brachydactyly-long thumb syndrome is known to have been transmitted from male-to-male in a single instance.[11]

See also

Notes and References

  1. Genetic Heterogeneity of Heart-Hand Syndromes. Craig T.. Basson. Scott D.. Solomon. Barbara. Weissman. Calum A.. MacRae. Andrew K.. Poznanski. Felix. Prieto. Salvador Ruiz de la. Fuente. William E.. Pease. S. E.. Levin. Lewis B.. Holmes. J. G.. Seidman. Christine E.. Seidman. Circulation. 1 March 1995. 91. 5. 1326–1329. 25 July 2016. circ.ahajournals.org. 10.1161/01.CIR.91.5.1326. 7867169.
  2. Heart-hand syndrome of Slovenian type: a new kind of laminopathy. L. Renou. S. Stora. R B.. Yaou. M. Volk. M. Sinkovec. L. Demay. P. Richard. B. Peterlin. G. Bonne. Journal of Medical Genetics. 1 July 2008. 45. 10. 666–671. 25 July 2016. 10.1136/jmg.2008.060020. 18611980. 24964665.
  3. Web site: Satyajeet Roy. Monaliben Patel. Hand Deformities and Heart Problems: A Case Report. www.consultantlive.com. 16 January 2013. 25 July 2016.
  4. Web site: Helton. Kathleen. Heart-hand syndrome, type 1. TheFetus.net. 1993. 25 July 2016.
  5. Web site: Orphanet: Heart hand syndrome. INSERM US14 -- ALL RIGHTS. RESERVED. 25 July 2016.
  6. Book: Skelley, Tao Le, Vikas Bhushan, Nathan William. First aid for the USMLE step 2 CK. 12 March 2012. McGraw-Hill Medical. New York. 978-0-07-176137-6. 357. 8th .
  7. Book: Bruno . Bissonnette . Igor . Luginbuehl . Bernard J. . Dalens . 2006 . Berk–Tabatznik Syndrome . https://books.google.com/books?id=uRR1MYa-w5wC&pg=PT110 . Syndromes: rapid recognition and perioperative implications . McGraw-Hill . New York . 978-0-07-135455-4 . 94.
  8. Web site: Orphanet: Heart hand syndrome type 3. INSERM US14 -- ALL RIGHTS. RESERVED. 25 July 2016.
  9. Web site: Heart-hand syndrome, Spanish type - Disease - Symptoms - Genetic and Rare Diseases Information Center (GARD) – an NCATS Program. 25 July 2016.
  10. Web site: OMIM Entry - # 610140 - HEART-HAND SYNDROME, SLOVENIAN TYPE. 25 July 2016.
  11. Web site: OMIM Entry - 112430 - LONG-THUMB BRACHYDACTYLY SYNDROME. 25 July 2016.
  12. Web site: OMIM Entry - 604381 - PATENT DUCTUS ARTERIOSUS AND BICUSPID AORTIC VALVE WITH HAND ANOMALIES. 25 July 2016.