Briggs T A, Abdel-Salam G M H, Balicki M, Baxter P, Bertini E, Bishop N, Browne B H, Chitayat D, Chong W K, Eid M M, Halliday W, Hughes I, Klusmann-Koy A, Kurian M, Nischal K K, Rice G I, Stephenson J B P, Surtees R, Talbot J F, Tehrani N N, Tolmie J L, Toomes C, van der Knaap M S, Crow Y J
Yorkshire Regional Genetics Service, St James's University Hospital, Leeds, UK.
Am J Med Genet A. 2008 Jan 15;146A(2):182-90. doi: 10.1002/ajmg.a.32080.
Extensive intracranial calcifications and leukoencephalopathy are seen in both Coats plus and leukoencephalopathy with calcifications and cysts (LCC; Labrune syndrome). Coats plus syndrome is additionally characterized by the presence of bilateral retinal telangiectasia and exudates while LCC shows the progressive formation of parenchymal brain cysts. Despite these apparently distinguishing features, recent evidence suggests that Coats plus and LCC represent the same clinical entity with a common primary pathogenesis involving a small vessel obliterative microangiopathy. Here, we describe eight previously unreported cases, and present an update on one of the original Coats plus patients to highlight the emerging core clinical features of the "cerebroretinal microangiopathy with calcification and cysts" (CRMCC) phenotype.
在科茨综合征(Coats plus)以及伴有钙化和囊肿的白质脑病(LCC;拉布伦综合征)中均可见广泛的颅内钙化和白质脑病。科茨综合征的另外特征是存在双侧视网膜毛细血管扩张和渗出物,而LCC则表现为脑实质囊肿的进行性形成。尽管有这些明显的区别特征,但最近的证据表明,科茨综合征和LCC代表同一临床实体,具有涉及小血管闭塞性微血管病的共同原发性发病机制。在此,我们描述8例先前未报道的病例,并对1例最初的科茨综合征患者进行更新,以突出“伴有钙化和囊肿的脑视网膜微血管病”(CRMCC)表型新出现的核心临床特征。