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基因发生突变的个体中出现的单侧视网膜色素变性。

Unilateral retinitis pigmentosa occurring in an individual with a mutation in the gene.

作者信息

Sim Peng Yong, Jeganathan V Swetha E, Wright Alan F, Cackett Peter

机构信息

The University of Edinburgh, Edinburgh, UK.

Royal Free Hospital, London, UK.

出版信息

BMJ Case Rep. 2018 Mar 15;2018:bcr-2017-222045. doi: 10.1136/bcr-2017-222045.

Abstract

This case report depicts the clinical course of a female patient with unilateral retinitis pigmentosa, who first presented at the age of 12 years. Fundus photography at the time revealed unilateral pigmentary retinopathy, which was associated with extinguished electroretinogram (ERG) signal. At 35 years of age, fundus examination revealed deterioration of pre-existing unilateral pigmentary retinopathy with progressive visual field defect detected on Goldmann visual field testing. ERG findings remained unchanged and multifocal ERG showed unilateral decrease in amplitude in the affected eye. The patient was referred for genetic counselling. Next-generation sequencing identified a deleterious heterozygous c.118T>G (p.Cys40Gly) mutation in the gene.

摘要

本病例报告描述了一名患有单侧视网膜色素变性的女性患者的临床病程,该患者首次就诊于12岁。当时的眼底照相显示单侧色素性视网膜病变,伴有视网膜电图(ERG)信号消失。35岁时,眼底检查显示先前存在的单侧色素性视网膜病变恶化,Goldmann视野检查发现有进行性视野缺损。ERG结果保持不变,多焦ERG显示患眼的振幅单侧降低。该患者被转介进行遗传咨询。下一代测序在该基因中鉴定出一个有害的杂合c.118T>G(p.Cys40Gly)突变。

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本文引用的文献

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Molecular findings from 537 individuals with inherited retinal disease.537例遗传性视网膜疾病患者的分子研究结果。
J Med Genet. 2016 Nov;53(11):761-767. doi: 10.1136/jmedgenet-2016-103837. Epub 2016 May 11.
2
Visual Function in Carriers of X-Linked Retinitis Pigmentosa.X连锁视网膜色素变性携带者的视觉功能
Ophthalmology. 2015 Sep;122(9):1899-906. doi: 10.1016/j.ophtha.2015.05.039. Epub 2015 Jul 2.
6
Next-generation genetic testing for retinitis pigmentosa.下一代遗传性视网膜色素变性基因检测。
Hum Mutat. 2012 Jun;33(6):963-72. doi: 10.1002/humu.22045. Epub 2012 Mar 19.
8
Retinitis pigmentosa: genes and disease mechanisms.色素性视网膜炎:基因与疾病机制。
Curr Genomics. 2011 Jun;12(4):238-49. doi: 10.2174/138920211795860107.
10
CLRN1 mutations cause nonsyndromic retinitis pigmentosa.CLRN1 突变导致非综合征性视网膜色素变性。
Ophthalmology. 2011 Jul;118(7):1444-8. doi: 10.1016/j.ophtha.2010.10.047. Epub 2011 Feb 18.

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