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视网膜营养不良是 - 相关纤毛病的一部分。

Retinal dystrophy as part of -associated ciliopathy.

机构信息

The Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.

Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Ophthalmic Genet. 2021 Jun;42(3):329-333. doi: 10.1080/13816810.2021.1888131. Epub 2021 Feb 18.

Abstract

: TCC21B is a ciliary protein. The most common phenotypic features associated with biallelic mutations are nephronophthisis and skeletal abnormalities. To date, retinal dystrophy has been reported in only one patient.: Clinical evaluation included best-corrected visual acuity, cycloplegic refraction, fundus examination, fundus photography, retinal imaging by optical coherence tomography, full-field electroretinography, multifocal electroretinography, and visual evoked potentials. Genetic analysis included Whole Exome Sequencing and confirmation of the identified mutations in the patient and his parents by PCR amplification and direct sequencing.: A ten-year-old Caucasian male presented with nephronophthisis, high myopia and nycatalopia. Best-corrected visual acuity was preserved to 20/20 in each eye with significant myopic correction. Visual fields were constricted. Optical coherence tomography confirmed the lack of outer retinal layers in the perifoveal area on both eyes. Electroretinography confirmed significant retinal dystrophy. Whole Exome Sequencing revealed compound heterozygous mutations in the gene.: is associated with ciliopathy, but retinal dystrophy is a rare finding in these patients. We report retinal dystrophy secondary to mutations, and provide for the first time detailed clinical information of the ophthalmic phenotype.

摘要

TCC21B 是一种纤毛蛋白。与双等位基因突变相关的最常见表型特征是肾单位发生和骨骼异常。迄今为止,仅在一名患者中报道过视网膜营养不良。

临床评估包括最佳矫正视力、睫状肌麻痹验光、眼底检查、眼底照相、光学相干断层扫描视网膜成像、全视野视网膜电图、多焦视网膜电图和视觉诱发电位。基因分析包括全外显子组测序,并通过 PCR 扩增和直接测序在患者及其父母中证实了所识别的突变。

一名十岁的白人男性患有肾单位发生、高度近视和弱视。双眼最佳矫正视力均保持在 20/20,但需要进行大量的近视矫正。视野受限。光学相干断层扫描证实双眼周边凹处的外视网膜层缺失。视网膜电图证实存在明显的视网膜营养不良。全外显子组测序显示基因存在复合杂合突变。

是纤毛病的一种,但这些患者的视网膜营养不良是一种罕见的发现。我们报告了继发于基因突变的视网膜营养不良,并首次提供了眼科表型的详细临床信息。

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