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X 连锁性视网劈裂在近亲结婚家族中的女性:一种罕见的疾病。

X-Linked Retinoschisis in Females in a Consanguineous Family: A Rare Entity.

机构信息

Ankara City Hospital, Clinic of Ophthalmology, Ankara, Turkey.

Niğde Ömer Halisdemir University Faculty of Medicine, Department of Ophthalmology, Niğde, Turkey.

出版信息

Turk J Ophthalmol. 2020 Aug 26;50(4):252-254. doi: 10.4274/tjo.galenos.2020.42815.

DOI:10.4274/tjo.galenos.2020.42815
PMID:32854471
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7469900/
Abstract

X-linked juvenile retinoschisis (XLRS) is a disease considered characteristic for males. In this study we report a consanguineous family in which 3 daughters were diagnosed with XLRS. Typical signs of XLRS were detected in 2 girls, aged 4 and 15. Fundoscopic examination of the father and the oldest daughter (age 17) revealed bilateral atrophic macula and retinal thinning. Although rare and considered characteristic for males, XLRS can be seen in females in Middle-East countries that have a high rate of consanguineous marriage. It can be overlooked by ophthalmologists and these patients may be misdiagnosed.

摘要

X 连锁青少年性视网膜劈裂症(XLRS)是一种被认为仅发生于男性的疾病。本研究报告了一个近亲家庭,其中 3 名女性被诊断为 XLRS。2 名 4 岁和 15 岁的女孩出现了典型的 XLRS 征象。父亲和年龄最大的女儿(17 岁)的眼底检查显示双侧萎缩性黄斑和视网膜变薄。尽管 XLRS 在中东国家较为罕见且被认为仅发生于男性,但在这些高近亲结婚率的国家,女性也可能患病。眼科医生可能会忽略这一点,导致这些患者被误诊。

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本文引用的文献

1
Nasal involvement in X-linked retinoschisis.X连锁视网膜劈裂症中的鼻腔受累情况。
Indian J Ophthalmol. 2017 Aug;65(8):738-740. doi: 10.4103/ijo.IJO_849_16.
2
Clinical and molecular characterization of females affected by X-linked retinoschisis.X连锁视网膜劈裂症女性患者的临床及分子特征
Clin Exp Ophthalmol. 2015 Sep-Oct;43(7):643-7. doi: 10.1111/ceo.12541. Epub 2015 Jun 19.
3
X-linked juvenile retinoschisis in a consanguineous family: phenotypic variability and report of a homozygous female patient.一个近亲家庭中的X连锁青少年视网膜劈裂症:表型变异性及一名纯合子女性患者的报告
Retina. 2014 Dec;34(12):2472-8. doi: 10.1097/IAE.0000000000000243.
4
Molecular analysis of the XLRS1 gene in 4 females affected with X-linked juvenile retinoschisis.对4名患有X连锁青少年视网膜劈裂症的女性进行XLRS1基因的分子分析。
Can J Ophthalmol. 2008 Oct;43(5):596-9. doi: 10.3129/i08-143.
5
Indocyanine green angiography of juvenile X-linked retinoschisis.青少年X连锁视网膜劈裂症的吲哚菁绿血管造影
Am J Ophthalmol. 2005 Sep;140(3):558-61. doi: 10.1016/j.ajo.2005.03.051.
6
Optical coherence tomography findings in familial foveal retinoschisis.家族性黄斑视网膜劈裂的光学相干断层扫描结果
Am J Ophthalmol. 2004 Jan;137(1):179-81. doi: 10.1016/s0002-9394(03)00736-0.
7
Juvenile X-linked retinoschisis from XLRS1 Arg213Trp mutation with preservation of the electroretinogram scotopic b-wave.因XLRS1基因的Arg213Trp突变导致的青少年X连锁视网膜劈裂症,伴有视网膜电图暗视b波保留。
Am J Ophthalmol. 1999 Aug;128(2):179-84. doi: 10.1016/s0002-9394(99)00144-0.
8
X linked retinoschisis.X连锁视网膜劈裂症
Br J Ophthalmol. 1995 Jul;79(7):697-702. doi: 10.1136/bjo.79.7.697.