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We report three pediatric patients with a homozygous c.1309G&gt;A (p.Gly437Arg) mutation presenting with distinct phenotypic variations. These cases expand the clinical spectrum and emphasize the importance of early genetic diagnosis and family counseling.<\/jats:p>","DOI":"10.1002\/ccr3.73311","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T05:09:57Z","timestamp":1786338597000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["H Syndrome Associated With Pure Red Cell Aplasia, Rosai\u2013Dorfman Disease, and Sensorineural Hearing Loss: Phenotypic Variability in Three Children With the Same\n                    <scp>SLC29A3<\/scp>\n                    Mutation"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5671-8615","authenticated-orcid":false,"given":"Mohammad","family":"Najajrah","sequence":"first","affiliation":[{"name":"Department of Pediatric Hematology and Oncology Beit Jala Governmental Hospital  Bethlehem 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