Recombinant human growth hormone treatment of Floating-Harbor syndrome: a case report and literature review

Abstract Background Floating Harbor syndrome (FHS) is a rare genetic disorder with over 100 reported cases worldwide and less than 30 treated with recombinant human growth hormone (rhGH). This article reports the clinical characteristics of a child with FHS and the effect of rhGH on height increase....

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Main Authors: Qing He, Yi Deng, Lei Xu, Zhe Xu, Yi Ding, Menghui Wu
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Pediatrics
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Online Access:https://doi.org/10.1186/s12887-025-05437-7
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author Qing He
Yi Deng
Lei Xu
Zhe Xu
Yi Ding
Menghui Wu
author_facet Qing He
Yi Deng
Lei Xu
Zhe Xu
Yi Ding
Menghui Wu
author_sort Qing He
collection DOAJ
description Abstract Background Floating Harbor syndrome (FHS) is a rare genetic disorder with over 100 reported cases worldwide and less than 30 treated with recombinant human growth hormone (rhGH). This article reports the clinical characteristics of a child with FHS and the effect of rhGH on height increase. Case summary The patient in this case exhibits the most typical features of FHS. Whole exome sequencing (WES) detected a pathogenic variant (c.7303 C > T, p.R2435X) in the SRCAP gene of this patient, which is a denovo variant. Has good sensitivity to rhGH treatment. The literature review included 28 children who received rhGH treatment, most of whom showed an increase in height SDS without any adverse reactions. Conclusion For patients with characteristic clinical manifestations, the diagnosis of FHS should be considered, and further pathogenic gene sequencing analysis should be performed to assist in the diagnosis. The genetic characteristic is a heterozygous nonsense mutation of the SRCAP gene. rhGH treatment is an effective treatment method for FHS.
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institution Kabale University
issn 1471-2431
language English
publishDate 2025-02-01
publisher BMC
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series BMC Pediatrics
spelling doaj-art-507cdabd45554c0f8e71387b9f65417e2025-02-09T12:54:31ZengBMCBMC Pediatrics1471-24312025-02-012511810.1186/s12887-025-05437-7Recombinant human growth hormone treatment of Floating-Harbor syndrome: a case report and literature reviewQing He0Yi Deng1Lei Xu2Zhe Xu3Yi Ding4Menghui Wu5Department of Children Healthcare, Guangyuan Central HospitalDepartment of Pediatrics, Guangyuan First People’s HospitalDepartment of Cardiovascular Medicine, Guangyuan Central HospitalDepartment of Pediatrics, Guangyuan Central HospitalDepartment of Pediatrics, Guangyuan Central HospitalDepartment of Pediatrics, Guangyuan First People’s HospitalAbstract Background Floating Harbor syndrome (FHS) is a rare genetic disorder with over 100 reported cases worldwide and less than 30 treated with recombinant human growth hormone (rhGH). This article reports the clinical characteristics of a child with FHS and the effect of rhGH on height increase. Case summary The patient in this case exhibits the most typical features of FHS. Whole exome sequencing (WES) detected a pathogenic variant (c.7303 C > T, p.R2435X) in the SRCAP gene of this patient, which is a denovo variant. Has good sensitivity to rhGH treatment. The literature review included 28 children who received rhGH treatment, most of whom showed an increase in height SDS without any adverse reactions. Conclusion For patients with characteristic clinical manifestations, the diagnosis of FHS should be considered, and further pathogenic gene sequencing analysis should be performed to assist in the diagnosis. The genetic characteristic is a heterozygous nonsense mutation of the SRCAP gene. rhGH treatment is an effective treatment method for FHS.https://doi.org/10.1186/s12887-025-05437-7Floating Harbor syndromeRecombinant human growth hormoneSRCAP
spellingShingle Qing He
Yi Deng
Lei Xu
Zhe Xu
Yi Ding
Menghui Wu
Recombinant human growth hormone treatment of Floating-Harbor syndrome: a case report and literature review
BMC Pediatrics
Floating Harbor syndrome
Recombinant human growth hormone
SRCAP
title Recombinant human growth hormone treatment of Floating-Harbor syndrome: a case report and literature review
title_full Recombinant human growth hormone treatment of Floating-Harbor syndrome: a case report and literature review
title_fullStr Recombinant human growth hormone treatment of Floating-Harbor syndrome: a case report and literature review
title_full_unstemmed Recombinant human growth hormone treatment of Floating-Harbor syndrome: a case report and literature review
title_short Recombinant human growth hormone treatment of Floating-Harbor syndrome: a case report and literature review
title_sort recombinant human growth hormone treatment of floating harbor syndrome a case report and literature review
topic Floating Harbor syndrome
Recombinant human growth hormone
SRCAP
url https://doi.org/10.1186/s12887-025-05437-7
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