Vasquez–Hurst–Sotos syndrome

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Vasquez–Hurst–Sotos Syndrome is a rare genetic disorder characterized by rapid growth during the first years of life, distinctive facial features, and learning disabilities or developmental delays. This syndrome falls under the category of overgrowth syndromes, which include a group of disorders leading to increased growth and other physical abnormalities. Vasquez–Hurst–Sotos Syndrome is often abbreviated as VHSS and is sometimes simply referred to as Sotos Syndrome 2, highlighting its similarities to the more widely recognized Sotos Syndrome.

Symptoms and Characteristics[edit | edit source]

VHSS is marked by several key features, which may vary in severity among individuals. These include:

  • Rapid growth: Children with VHSS typically exhibit accelerated growth from birth to early childhood, surpassing average height and weight milestones.
  • Facial features: Distinctive facial characteristics may include a prominent forehead, down-slanting eye slits, a long face, and a pointed chin.
  • Developmental delays: Individuals with VHSS may experience delays in reaching developmental milestones, such as walking and talking. Learning disabilities are also common.
  • Behavioral issues: Some affected individuals may display behavioral problems, including hyperactivity or attention deficit disorders.

Genetics[edit | edit source]

VHSS is caused by mutations in a specific gene, although the exact gene responsible may vary among individuals. The condition is inherited in an autosomal dominant pattern, meaning only one copy of the altered gene in each cell is sufficient to cause the disorder. However, there are cases where the syndrome occurs as a result of a new mutation and is not inherited from either parent.

Diagnosis[edit | edit source]

Diagnosis of Vasquez–Hurst–Sotos Syndrome is based on a combination of clinical evaluation and genetic testing. The distinctive physical features and patterns of growth and development are key factors in suspecting VHSS. Genetic testing can confirm the diagnosis by identifying a mutation in the gene associated with the syndrome.

Treatment[edit | edit source]

There is no cure for VHSS, and treatment focuses on managing the symptoms and supporting the individual's development. This may include:

  • Growth monitoring: Regular monitoring of growth and development to identify and address any issues early on.
  • Educational support: Tailored educational programs to support learning and development.
  • Behavioral therapy: Strategies to manage any behavioral issues effectively.
  • Medical care: Addressing any other medical issues associated with the syndrome, such as heart or kidney problems.

Prognosis[edit | edit source]

The prognosis for individuals with Vasquez–Hurst–Sotos Syndrome varies depending on the severity of the symptoms. With appropriate support and management, many individuals can lead healthy, productive lives.

See Also[edit | edit source]


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Contributors: Prab R. Tumpati, MD