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HEC syndrome

MedGen UID:
331549
Concept ID:
C1833607
Disease or Syndrome
Synonyms: Communicating hydrocephalus, endocardial fibroelastosis (EFE) and congenital cataracts; Hydrocephalus, endocardial fibroelastosis, and cataracts
SNOMED CT: Hydrocephalus with endocardial fibroelastosis and cataract syndrome (721015008); HEC syndrome (721015008); HEC (hydrocephalus, endocardial fibroelastosis, cataract) syndrome (721015008)
Modes of inheritance:
Unknown inheritance
MedGen UID:
989040
Concept ID:
CN307042
Finding
Source: Orphanet
Hereditary clinical entity whose mode of inheritance is unknown.
 
Monarch Initiative: MONDO:0010901
OMIM®: 600559
Orphanet: ORPHA2119

Definition

Syndrome that is characterized by communicating hydrocephalus, endocardial fibroelastosis and congenital cataracts. It has been described in two children, both of whom died a few months after birth (the first as a result of a respiratory infection and the second due to cardiac complications). The etiology of the syndrome is unknown but a viral or genetic origin has been proposed. [from SNOMEDCT_US]

Clinical features

From HPO
Endocardial fibroelastosis
MedGen UID:
4041
Concept ID:
C0014117
Disease or Syndrome
Diffuse thickening of the ventricular endocardium and by associated myocardial dysfunction
Communicating hydrocephalus
MedGen UID:
1058
Concept ID:
C0009451
Disease or Syndrome
A form of hydrocephalus in which there is no visible obstruction to the flow of the cerebrospinal fluid between the ventricles and subarachnoid space.
Polyhydramnios
MedGen UID:
6936
Concept ID:
C0020224
Pathologic Function
The presence of excess amniotic fluid in the uterus during pregnancy.
Developmental cataract
MedGen UID:
3202
Concept ID:
C0009691
Congenital Abnormality
A cataract that occurs congenitally as the result of a developmental defect, in contrast to the majority of cataracts that occur in adulthood as the result of degenerative changes of the lens.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVHEC syndrome
Follow this link to review classifications for HEC syndrome in Orphanet.

Professional guidelines

PubMed

Domingues-Hajj PMS, Gomes PM, Magalhães PKR, Maciel LMZ
Thyroid 2024 Aug;34(8):1038-1046. Epub 2024 Jul 3 doi: 10.1089/thy.2024.0132. PMID: 38877800
Carraway HE
Hematology Am Soc Hematol Educ Program 2016 Dec 2;2016(1):470-477. doi: 10.1182/asheducation-2016.1.470. PMID: 27913518Free PMC Article
D'Agincourt-Canning L
HEC Forum 2004 Dec;16(4):222-33. doi: 10.1007/s10730-005-2233-z. PMID: 15672697

Recent clinical studies

Etiology

Ge Y, Chen Y, Zhang Y, Hu Y, Jiang F, Lu X, Wu C
Sci Rep 2024 Aug 17;14(1):19111. doi: 10.1038/s41598-024-69951-x. PMID: 39154063Free PMC Article
Xie Z, Komrokji R, Al Ali N, Regelson A, Geyer S, Patel A, Saygin C, Zeidan AM, Bewersdorf JP, Mendez L, Kishtagari A, Zeidner JF, Coombs CC, Madanat YF, Chung S, Badar T, Foran J, Desai P, Tsai C, Griffiths EA, Al Malki MM, Amanam I, Lai C, Deeg HJ, Ades L, Arana Yi C, Osman AEG, Dinner S, Abaza Y, Taylor J, Chandhok N, Soong D, Brunner AM, Carraway HE, Singh A, Elena C, Ferrari J, Gallì A, Pozzi S, Padron E, Patnaik MM, Malcovati L, Savona MR, Al-Kali A
Blood 2024 Nov 7;144(19):2033-2044. doi: 10.1182/blood.2024024756. PMID: 38996210Free PMC Article
Wu Q, Dudley MZ, Chen X, Bai X, Dong K, Zhuang T, Salmon D, Yu H
BMC Med 2021 Jul 28;19(1):173. doi: 10.1186/s12916-021-02059-5. PMID: 34315454Free PMC Article
Irshad K, Akash MSH, Rehman K, Sharif H
Endocr Metab Immune Disord Drug Targets 2021;21(12):2169-2180. doi: 10.2174/1871530321666210617164550. PMID: 34139987
Carraway HE, Saygin C
Hematology Am Soc Hematol Educ Program 2020 Dec 4;2020(1):426-433. doi: 10.1182/hematology.2020000127. PMID: 33275714Free PMC Article

Diagnosis

Ge Y, Chen Y, Zhang Y, Hu Y, Jiang F, Lu X, Wu C
Sci Rep 2024 Aug 17;14(1):19111. doi: 10.1038/s41598-024-69951-x. PMID: 39154063Free PMC Article
Carraway HE, Saygin C
Hematology Am Soc Hematol Educ Program 2020 Dec 4;2020(1):426-433. doi: 10.1182/hematology.2020000127. PMID: 33275714Free PMC Article
Ferreira-Hermosillo A, Ibarra-Salce R, Rodríguez-Malacara J, Molina-Ayala MA
BMC Endocr Disord 2020 Jun 15;20(1):87. doi: 10.1186/s12902-020-00570-z. PMID: 32539854Free PMC Article
Frumkin K, Delahanty LF
Am J Emerg Med 2018 Dec;36(12):2279-2285. Epub 2018 Aug 18 doi: 10.1016/j.ajem.2018.08.042. PMID: 30170933
Singh R, Cameron BH, Walton JM, Farrokhyar F, Borenstein SH, Fitzgerald PG
J Pediatr Surg 2007 May;42(5):885-9. doi: 10.1016/j.jpedsurg.2006.12.055. PMID: 17502205

Therapy

Xie Z, Komrokji R, Al Ali N, Regelson A, Geyer S, Patel A, Saygin C, Zeidan AM, Bewersdorf JP, Mendez L, Kishtagari A, Zeidner JF, Coombs CC, Madanat YF, Chung S, Badar T, Foran J, Desai P, Tsai C, Griffiths EA, Al Malki MM, Amanam I, Lai C, Deeg HJ, Ades L, Arana Yi C, Osman AEG, Dinner S, Abaza Y, Taylor J, Chandhok N, Soong D, Brunner AM, Carraway HE, Singh A, Elena C, Ferrari J, Gallì A, Pozzi S, Padron E, Patnaik MM, Malcovati L, Savona MR, Al-Kali A
Blood 2024 Nov 7;144(19):2033-2044. doi: 10.1182/blood.2024024756. PMID: 38996210Free PMC Article
Hu W, Zhan B, Li Q, Yang G, Yang M, Tan M, Geng S, Liu H, Chen C, Liu D, Li L
Front Endocrinol (Lausanne) 2021;12:774309. Epub 2021 Nov 11 doi: 10.3389/fendo.2021.774309. PMID: 34867822Free PMC Article
Wu Q, Dudley MZ, Chen X, Bai X, Dong K, Zhuang T, Salmon D, Yu H
BMC Med 2021 Jul 28;19(1):173. doi: 10.1186/s12916-021-02059-5. PMID: 34315454Free PMC Article
Irshad K, Akash MSH, Rehman K, Sharif H
Endocr Metab Immune Disord Drug Targets 2021;21(12):2169-2180. doi: 10.2174/1871530321666210617164550. PMID: 34139987
Carraway HE, Saygin C
Hematology Am Soc Hematol Educ Program 2020 Dec 4;2020(1):426-433. doi: 10.1182/hematology.2020000127. PMID: 33275714Free PMC Article

Prognosis

Xie Z, Komrokji R, Al Ali N, Regelson A, Geyer S, Patel A, Saygin C, Zeidan AM, Bewersdorf JP, Mendez L, Kishtagari A, Zeidner JF, Coombs CC, Madanat YF, Chung S, Badar T, Foran J, Desai P, Tsai C, Griffiths EA, Al Malki MM, Amanam I, Lai C, Deeg HJ, Ades L, Arana Yi C, Osman AEG, Dinner S, Abaza Y, Taylor J, Chandhok N, Soong D, Brunner AM, Carraway HE, Singh A, Elena C, Ferrari J, Gallì A, Pozzi S, Padron E, Patnaik MM, Malcovati L, Savona MR, Al-Kali A
Blood 2024 Nov 7;144(19):2033-2044. doi: 10.1182/blood.2024024756. PMID: 38996210Free PMC Article
Hu W, Zhan B, Li Q, Yang G, Yang M, Tan M, Geng S, Liu H, Chen C, Liu D, Li L
Front Endocrinol (Lausanne) 2021;12:774309. Epub 2021 Nov 11 doi: 10.3389/fendo.2021.774309. PMID: 34867822Free PMC Article
Carraway HE, Saygin C
Hematology Am Soc Hematol Educ Program 2020 Dec 4;2020(1):426-433. doi: 10.1182/hematology.2020000127. PMID: 33275714Free PMC Article
Kou FS, Shi L, Li JX, Wang ZB, Shi R, Mao TY, Ke X, Zhang BP, Yang XJ, Wen XL, Zheng WY, Han X, Ding PH, Dong J
Medicine (Baltimore) 2020 Aug 28;99(35):e21903. doi: 10.1097/MD.0000000000021903. PMID: 32871923Free PMC Article
Devi AS, Eisenfeld L, Uphoff D, Greenstein R
Am J Med Genet 1995 Mar 13;56(1):62-6. doi: 10.1002/ajmg.1320560114. PMID: 7747788

Clinical prediction guides

Xie Z, Komrokji R, Al Ali N, Regelson A, Geyer S, Patel A, Saygin C, Zeidan AM, Bewersdorf JP, Mendez L, Kishtagari A, Zeidner JF, Coombs CC, Madanat YF, Chung S, Badar T, Foran J, Desai P, Tsai C, Griffiths EA, Al Malki MM, Amanam I, Lai C, Deeg HJ, Ades L, Arana Yi C, Osman AEG, Dinner S, Abaza Y, Taylor J, Chandhok N, Soong D, Brunner AM, Carraway HE, Singh A, Elena C, Ferrari J, Gallì A, Pozzi S, Padron E, Patnaik MM, Malcovati L, Savona MR, Al-Kali A
Blood 2024 Nov 7;144(19):2033-2044. doi: 10.1182/blood.2024024756. PMID: 38996210Free PMC Article
GBD 2021 Risk Factors Collaborators
Lancet 2024 May 18;403(10440):2162-2203. doi: 10.1016/S0140-6736(24)00933-4. PMID: 38762324Free PMC Article
Hu W, Zhan B, Li Q, Yang G, Yang M, Tan M, Geng S, Liu H, Chen C, Liu D, Li L
Front Endocrinol (Lausanne) 2021;12:774309. Epub 2021 Nov 11 doi: 10.3389/fendo.2021.774309. PMID: 34867822Free PMC Article
Wu Q, Dudley MZ, Chen X, Bai X, Dong K, Zhuang T, Salmon D, Yu H
BMC Med 2021 Jul 28;19(1):173. doi: 10.1186/s12916-021-02059-5. PMID: 34315454Free PMC Article
Carraway HE, Saygin C
Hematology Am Soc Hematol Educ Program 2020 Dec 4;2020(1):426-433. doi: 10.1182/hematology.2020000127. PMID: 33275714Free PMC Article

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