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成骨不全症合并青光眼:病例报告。

Association of osteogenesis imperfecta and glaucoma: case report.

机构信息

Department of Ophthalmology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.

出版信息

Ophthalmic Genet. 2023 Oct;44(5):475-479. doi: 10.1080/13816810.2022.2138454. Epub 2022 Oct 28.

Abstract

BACKGROUND

Osteogenesis imperfecta (OI) is an inherited disorder characterized by bone fragility. Type I OI is the most common type of OI, and is autosomal dominantly-inherited. Type I OI develops due to pathogenic variants in the collagen 1 Alpha 1 (COL1A1) gene on chromosome 17. Collagen proteins are important components of the extracellular matrix of the trabecular meshwork, Schlemm's canal, and lamina cribrosa, which play a role in the development of glaucoma.

PURPOSE

To report a father and his daughter who were diagnosed with glaucoma and OI type I.

MATERIALS AND METHODS

Case report.

RESULTS

A 58-year-old man and his 31-year-old daughter were diagnosed with OI type 1 [NM_000088.4 (COL1A1): c.3008del (p.Pro1003fs)]. In addition, both subjects had glaucomatous optic neuropathy.

CONCLUSIONS

In this report, we presented a pathogenic variant in a father and his daughter with OI and coexisting glaucoma. The abnormalities in collagen may contribute to the risk of glaucoma development in patients with COL1A1-associated OI. Therefore, screening for glaucoma may be indicated when caring for patients with this diagnosis.

摘要

背景

成骨不全症(OI)是一种以骨骼脆弱为特征的遗传性疾病。I 型 OI 是最常见的 OI 类型,呈常染色体显性遗传。I 型 OI 是由于 17 号染色体上的胶原蛋白 1 Alpha 1(COL1A1)基因的致病变异引起的。胶原蛋白是小梁网、施莱姆氏管和筛板细胞外基质的重要组成部分,在青光眼的发展中发挥作用。

目的

报告一例患有 I 型成骨不全症和青光眼的父女病例。

材料和方法

病例报告。

结果

一位 58 岁男性和他 31 岁的女儿被诊断为 I 型成骨不全症[NM_000088.4(COL1A1):c.3008del(p.Pro1003fs)]。此外,两位患者均患有青光眼性视神经病变。

结论

在本报告中,我们介绍了一位父亲和他的女儿同时患有 I 型成骨不全症和共存的青光眼。胶原的异常可能增加 COL1A1 相关 OI 患者发生青光眼发展的风险。因此,在照顾此类诊断的患者时,可能需要进行青光眼筛查。

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