Harboyan syndrome with biallelic SLC4A11 pathogenic variants misdiagnosed as congenital CMV infection

Ophthalmic Genet. 2022 Oct;43(5):685-688. doi: 10.1080/13816810.2022.2083182. Epub 2022 Jun 7.

Abstract

Harboyan syndrome is a rare autosomal recessive disorder characterised by congenital hereditary endothelial dystrophy (CHED), with a later onset of sensorineural hearing loss, due to pathogenic variants in the SLC4A11 gene. Congenital cytomegalovirus (CMV) may also manifest with sensorineural hearing loss and visual impairment. We present a case of a 4-year-old girl, diagnosed at birth with a congenital CMV infection, but careful phenotyping and genetic testing permitted a more likely diagnosis of Harboyan syndrome.

Keywords: Harboyan syndrome; congenital corneal opacity; congenital cytomegalovirus; deafness.

Publication types

  • Case Reports

MeSH terms

  • Anion Transport Proteins / genetics
  • Antiporters / genetics
  • Child, Preschool
  • Corneal Dystrophies, Hereditary* / genetics
  • Cytomegalovirus Infections* / diagnosis
  • Diagnostic Errors
  • Female
  • Hearing Loss, Sensorineural* / diagnosis
  • Hearing Loss, Sensorineural* / genetics
  • Humans
  • Infant, Newborn

Substances

  • Anion Transport Proteins
  • Antiporters
  • SLC4A11 protein, human

Supplementary concepts

  • Corneal dystrophy and perceptive deafness