Floating–harbor syndrome: A rare case report

Abstract

Aim and objective: To report a case with Floating–Harbor syndrome (FHS), emphasizing the general features and dental abnormalities and the treatment procedures and its outcome. Background: FHS is an extremely rare genetic disorder, characterized by a triad: short stature, speech delay, and characteristic facies like triangular shape, bulbous nose, wide columella, deep-set eyes, long eyelashes, thin lips, short philtrum, and broad mouth. Approximately 50 cases have been described in the medical literature till date. Diagnosis is often delayed because the characteristic features of this syndrome are nonfamiliar. Case description: A male child aged 5 years was referred to the dental OPD with the chief complaint of decayed upper and lower front and back teeth. On examination, the patient was found to have FHS along with the dental caries. Conclusion: FHS is a rare genetic dysmorphic/mental retardation syndrome affecting both sexes but more among the female sex. There is no known cure for the disease and the treatment is symptomatic and supportive. Clinical significance: An early diagnosis of FHS is important, as it enables with adequate information. These multiple malformations identification by an early diagnosis is crucial, as it requires a multidisciplinary approach in the initial evaluation, treatment, and follow-up.