Hand-foot-genital syndrome (previously known as hand-foot-uterus syndrome) refers to a rare hereditary disorder with abnormalities involving the hands, feet and uterus.
Hand-foot-genital syndrome should not be confused with:
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Clinical presentation
Affected patients can have 1:
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urogenital abnormalities
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females
ectopic localization of ureteric and urethral orifices
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males
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musculoskeletal abnormalities
short, pointed distal phalanges of the thumb and great toe
shortened metacarpals and metatarsals
unusual carpal and tarsal fusions are present
ulnar deviation of the second finger
clinodactyly of the fifth fingers
Pathology
Genetics
Hand-foot-genital syndrome is caused by mutation in HOXA13, which is inherited in an autosomal dominant pattern 1.
History and etymology
The syndrome was initially called hand-foot-uterus syndrome by Stern et al., but the observation of hypospadias in some affected males prompted a change of nomenclature ref.