Sim Peng Yong, Jeganathan V Swetha E, Wright Alan F, Cackett Peter
The University of Edinburgh, Edinburgh, UK.
Royal Free Hospital, London, UK.
BMJ Case Rep. 2018 Mar 15;2018:bcr-2017-222045. doi: 10.1136/bcr-2017-222045.
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.
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。