Holoprosencephaly-radial heart renal anomalies syndrome

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ORPHA:3186OMIM:184705Q87.8
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Overview

Holoprosencephaly-radial heart renal anomalies syndrome is an extremely rare condition that affects multiple organ systems during development before birth. The name describes the key features: holoprosencephaly (a brain malformation where the front part of the brain fails to divide properly into two halves), radial defects (problems with the thumb-side bone of the forearm and the thumb itself), heart defects, and kidney (renal) abnormalities. This syndrome is sometimes referred to as holoprosencephaly with radial, cardiac, and renal anomalies. Babies born with this condition typically show facial differences that can range from mild (such as closely spaced eyes or a single central front tooth) to severe (such as a single eye or absent nose). The brain malformation can lead to significant intellectual disability, seizures, and developmental delays. Heart defects may include holes between heart chambers or other structural problems. Kidney abnormalities can range from misshapen kidneys to absent kidneys. Limb differences, particularly involving the radius bone and thumb, are also characteristic. Because this syndrome affects so many vital organs, treatment is primarily supportive and focused on managing individual symptoms. Surgery may be needed for heart defects, and therapies are provided to support development. The overall outlook depends heavily on the severity of the brain and organ involvement. Due to the extreme rarity of this condition, there is limited published medical literature, and management is guided by expert opinion and experience with the individual components of the syndrome.

Also known as:

Key symptoms:

Brain malformation where the front of the brain does not divide properlyFacial differences such as closely spaced eyes or a flat noseMissing or underdeveloped thumbMissing or shortened forearm bone on the thumb sideHeart defects present at birthKidney abnormalities or missing kidneysIntellectual disabilitySeizuresDelayed development and growthFeeding difficulties in infancyLow muscle toneVision problemsHearing problems

Clinical phenotype terms (27)— hover any for plain English
Aplasia of the noseHP:0009927Absent gallbladderHP:0011467Missing ribsHP:0000921Foot polydactylyHP:0001829
Inheritance

Variable

Can be inherited in different ways depending on the underlying gene

Age of Onset

Neonatal

Begins at or shortly after birth (first 4 weeks)

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Holoprosencephaly-radial heart renal anomalies syndrome.

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No actively recruiting trials found for Holoprosencephaly-radial heart renal anomalies syndrome at this time.

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No specialists are currently listed for Holoprosencephaly-radial heart renal anomalies syndrome.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Holoprosencephaly-radial heart renal anomalies syndrome.

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Community

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Latest news about Holoprosencephaly-radial heart renal anomalies syndrome

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Caregiver Resources

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Questions for your doctor

Bring these to your next appointment

  • Q1.What type and severity of holoprosencephaly does my child have, and what does this mean for their development?,How severe are the heart and kidney problems, and will surgery be needed?,What genetic testing should be done, and what will the results mean for future pregnancies?,What therapies and early intervention services should we start right away?,What is the seizure management plan, and when should we go to the emergency room?,Are there any clinical trials or research studies that might be relevant for my child?,What support services are available for our family, including palliative care if needed?

Common questions about Holoprosencephaly-radial heart renal anomalies syndrome

What is Holoprosencephaly-radial heart renal anomalies syndrome?

Holoprosencephaly-radial heart renal anomalies syndrome is an extremely rare condition that affects multiple organ systems during development before birth. The name describes the key features: holoprosencephaly (a brain malformation where the front part of the brain fails to divide properly into two halves), radial defects (problems with the thumb-side bone of the forearm and the thumb itself), heart defects, and kidney (renal) abnormalities. This syndrome is sometimes referred to as holoprosencephaly with radial, cardiac, and renal anomalies. Babies born with this condition typically show fa

At what age does Holoprosencephaly-radial heart renal anomalies syndrome typically begin?

Typical onset of Holoprosencephaly-radial heart renal anomalies syndrome is neonatal. Age of onset can vary across affected individuals.