# Unraveling the Genetic Tapestry: A Case Report on Oro-Facial-Digital Syndrome’s Rare Features Across Generations in a Familial Trilogy

## TL;DR

This case report describes a rare autosomal dominant inheritance of Oro-Facial-Digital Syndrome in three siblings, highlighting unusual features and treatment plans.

## Contribution

The report identifies an autosomal dominant transmission of Mohr syndrome, which is atypical for this condition.

## Key findings

- Three family members exhibited oro-facial anomalies and post-axial polysyndactyly.
- The male child showed additional strabismus and knee joint defects.
- Symptomatic management and planned surgical interventions are expected to result in full recovery.

## Abstract

Oro-facial-digital syndrome, specifically Mohr syndrome, is an uncommon genetic disorder characterized by predominant oro-facial anomalies and polysyndactyly. While typically associated with autosomal recessive and X-linked dominant inheritance patterns, this case presents an autosomal dominant mode of transmission. This report documents the clinical presentation of three individuals, a 12-year-old male child and two females, 10-year-old and eight-year-old, who have inherited the disorder from their ancestors. The observed features include post-axial polysyndactyly in both upper and lower limbs, with the male child exhibiting additional manifestations of strabismus and knee joint defects. Symptomatic management is pursued due to the absence of complications, with surgical interventions and subsequent cosmetic repairs planned for all three children. Post-surgical physiotherapy is scheduled as part of their comprehensive treatment plan. The prognosis for this disorder is generally favorable, with a complete recovery anticipated and no complications expected.