Abstract：A full-term female infant was admitted at 5 hours after birth due to heart malformations found during the fetal period and cyanosis once after birth. Mmultiple malformations of eyes, face, limbs, and heart were noted. The whole-exome sequencing revealed a pathogenic heterozygous mutation, c.2428C>T(p.Arg810*), in the BCOR gene. The infant was then diagnosed with oculo-facio-cardio-dental syndrome. He received assisted ventilation to improve oxygenation and nutritional support during hospitalization. Right ventricular double outlet correction was performed 1 month after birth. Ocular lesions were followed up and scheduled for elective surgery. The possibility of oculo-facio-cardio-dental syndrome should be considered for neonates with multiple malformations of eyes, face, and heart, and genetic testing should be performed as early as possible to confirm the diagnosis; meanwhile, active ophthalmic and cardiovascular symptomatic treatment should be given to improve the prognosis.
LU Yuan-Yuan,ZHANG Zuo-Hui,LI Xue et al. Oculo-facio-cardio-dental syndrome caused by BCOR gene mutations: a case report[J]. CJCP, 2023, 25(2): 202-204.
O'Byrne JJ, Laffan E, Murray DJ, et al. Oculo-facio-cardio-dental syndrome with craniosynostosis, temporal hypertrichosis, and deafness[J]. Am J Med Genet A, 2017, 173(5): 1374-1377. PMID: 28317252. DOI: 10.1002/ajmg.a.38128.
