Tsegaw Asamere, Teshome Tiliksew
Department of Ophthalmology, School of Medicine, University of Gondar, Gondar, Ethiopia.
Department of Ophthalmology, Faculty of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Int Med Case Rep J. 2021 Mar 19;14:177-181. doi: 10.2147/IMCRJ.S299421. eCollection 2021.
Bardet-Biedl syndrome (BBS) is a rare familial and multi-system disorder with an autosomal recessive pattern of inheritance and wide range of clinical variability. Its main manifestations are progressive retinal dystrophy, renal dysfunction, post-axial polydactyly, central obesity, mental retardation, and hypogonadism. Renal failure is known to be the main cause of death in patients with BBS. Retinal dystrophy and other eye diseases seen in patients with BBS can cause severe visual impairment and blindness at an early age. After written consent was obtained from the patient, we report the clinical and laboratory data of the first case from Ethiopia of an 18-year-old boy with multi-system manifestations of the Bardet-Biedl Syndrome. We discuss the main clinical manifestations of the syndrome including its potentially blinding and fatal features. We emphasize the need for diagnosis of this syndrome at an early age as possible so that proper and multidisciplinary medical care can be given for such patients to prevent unnecessary morbidity and early mortality.
巴德-比德尔综合征(BBS)是一种罕见的常染色体隐性遗传的家族性多系统疾病,临床变异性广泛。其主要表现为进行性视网膜营养不良、肾功能不全、轴后多指(趾)畸形、中枢性肥胖、智力发育迟缓以及性腺功能减退。已知肾衰竭是BBS患者的主要死因。BBS患者出现的视网膜营养不良和其他眼部疾病可在早年导致严重视力损害甚至失明。在获得患者书面同意后,我们报告了埃塞俄比亚首例18岁患有巴德-比德尔综合征多系统表现男孩的临床和实验室数据。我们讨论了该综合征的主要临床表现,包括其潜在的致盲和致命特征。我们强调尽早诊断该综合征的必要性,以便为这类患者提供适当的多学科医疗护理,预防不必要的发病和过早死亡。