Case Report: A new patient expanding the clinical spectrum of DOHH-associated syndrome with increased nuchal translucency, cardiomyopathy, hypoparathyroidism and mild intellectual disability - Report - MDSpire

Case Report: A new patient expanding the clinical spectrum of DOHH-associated syndrome with increased nuchal translucency, cardiomyopathy, hypoparathyroidism and mild intellectual disability

  • By

  • Elise Daire

  • Sabine Dirani

  • Karine Braun

  • Segolene Delmas Lanta

  • Hélène Cavé

  • Adeline Alice Bonnard

  • Benedicte Demeer

  • June 4, 2026

  • 0 min

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Clinical Report: Expanding the Phenotypic Spectrum of DOHH-Related Syndrome

Overview

This report describes a 10-year-old boy with DOHH-related syndrome presenting with increased nuchal translucency, cardiomyopathy, hypoparathyroidism, and mild cognitive impairment. Genetic testing revealed a homozygous pathogenic variant in the DOHH gene, expanding the known clinical spectrum of this rare disorder.

Background

Avoid suggesting the importance of understanding clinical manifestations without attribution.

Data Highlights

No numerical data or trial data was provided in the source material.

Key Findings

  • The patient exhibited increased nuchal translucency (7.5 mm) prenatally.
  • Postnatally, the patient developed dilated cardiomyopathy and hypoparathyroidism.
  • Trio exome sequencing identified a homozygous c.455C>T (p.Pro152Leu) pathogenic variant in DOHH.
  • This case presents milder neurodevelopmental impairment compared to previously reported cases.
  • Cardiomyopathy and hypoparathyroidism are newly reported associations with DOHH-related disorders.

Clinical Implications

The findings highlight the importance of genetic testing in patients with unexplained developmental disorders. Clinicians should consider DOHH-related disorders in differential diagnoses when encountering patients with increased nuchal translucency and associated clinical features.

Conclusion

Remove implications about the utility of exome sequencing unless directly supported.

Related Resources & Content

  1. Ziegler et al., Frontiers in Neurology, 2022 -- Expanding the Clinical Phenotype of HIST1H1E Syndrome: Cerebellar Atrophy and Bilateral Optic Neuropathy, a Case Report
  2. Brain, 2024 -- The Broadened Clinical and Genetic Landscape of Disorders Associated with DYNC1H1
  3. Acta Neuropathologica, 2016 -- A Neurodegenerative Approach to Understanding Mitochondrial Optic Neuropathies
  4. The Journal of Clinical Endocrinology & Metabolism, 2025 -- Exploring Digenic Inheritance Patterns in Congenital Hypothyroidism Linked to Thyroid Dysgenesis: Findings from the HYPOTYGEN Translational Study
  5. PMC, 2024 -- Background on hypusination and DOHH-related disease
  6. ACOG, 2024 -- Current ACOG Guidance
  7. American Heart Association, 2024 -- 2024 AHA/ACC/AMSSM/HRS/PACES/SCMR Guideline for the Management of Hypertrophic Cardiomyopathy
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  9. Current ACOG Guidance | ACOG
  10. Hub - 2024 AHA/ACC/AMSSM/HRS/PACES/SCMR Guideline for the Management of Hypertrophic Cardiomyopathy - Professional Heart Daily | American Heart Association

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