Department of Ophthalmology, New York-Presbyterian Hospital, New York, New York.
Jonas Children's Vision Care and Bernard & Shirlee Brown Glaucoma Laboratory, New York, New York.
Am J Med Genet A. 2019 Feb;179(2):312-316. doi: 10.1002/ajmg.a.61001. Epub 2018 Dec 18.
Mutations in the gene SCAPER (S-phase CyclinA Associated Protein residing in the Endoplasmic Reticulum) have recently been identified as causing syndromic autosomal recessive retinitis pigmentosa with the extraocular manifestations of intellectual disability and attention-deficit/hyperactivity disorder. We present the case of an 11-year-old boy that presented to our clinic with the complaint of decreased night vision. Clinical presentation, family history, and diagnostic imaging were congruent with the diagnosis of autosomal recessive retinitis pigmentosa. Genetic testing of the patient and both parents via whole-exome sequencing revealed the homozygous mutation c.2023-2A>G in SCAPER. Unique to our patient's presentation is the absence of intellectual disability and attention-deficit/hyperactivity disorder, suggesting that SCAPER-associated retinitis pigmentosa can also present without systemic manifestations.
最近发现,SCAPER(位于内质网中的 S 期细胞周期蛋白 A 相关蛋白)基因突变可导致伴眼外表现的常染色体隐性遗传视网膜色素变性,其眼外表现为智力残疾和注意力缺陷/多动障碍。我们报告了 1 例 11 岁男孩,因夜间视力下降就诊于我科。临床表现、家族史和诊断性影像学检查均符合常染色体隐性遗传视网膜色素变性的诊断。对患者及其父母进行全外显子组测序的基因检测显示,SCAPER 中的纯合突变 c.2023-2A>G。我们患者的临床表现的独特之处在于没有智力残疾和注意力缺陷/多动障碍,这表明 SCAPER 相关的视网膜色素变性也可无全身表现。