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伴有网状色素性营养不良和鸟氨酸 - 酮酸转氨酶缺乏症的脉络膜和视网膜回旋状萎缩

Gyrate atrophy of the choroid and retina with reticular pigmentary dystrophy and ornithine-ketoacid-transaminase deficiency.

作者信息

Deutman A F, Sengers R C, Trybels J M

出版信息

Int Ophthalmol. 1978 Sep;1(1):49-56. doi: 10.1007/BF00133277.

DOI:10.1007/BF00133277
PMID:553042
Abstract

A 10 year old white girl is presented with gyrate atrophy of the choroid and retina (atrofia gyrata). She also showed reticular pigmentations at the level of the retinal pigment epithelium temporal to both maculas. A generalized hyperornithinaemia was demonstrated in this patient and cultured fibroblasts established the underlying ornithine-keto-acid-transaminase (OKT) deficiency for the first time. Pharmacologic doses of vitamin B6 nor restriction of dietary protein resulted in a significant decrease of the serum ornithine concentration. It is probable that hyperornithinaemia in itself is not the cause of the gyrate atrophy.

摘要

一名10岁白人女孩被诊断患有脉络膜和视网膜回旋性萎缩(萎缩性回旋)。她还在两个黄斑颞侧的视网膜色素上皮水平出现网状色素沉着。该患者被证实存在全身性高鸟氨酸血症,培养的成纤维细胞首次确定了潜在的鸟氨酸 - 酮酸转氨酶(OKT)缺乏症。药理剂量的维生素B6或限制饮食中的蛋白质均未导致血清鸟氨酸浓度显著降低。高鸟氨酸血症本身可能不是回旋性萎缩的病因。

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Gyrate atrophy of the choroid and retina. Approaches to therapy.脉络膜和视网膜的回旋状萎缩。治疗方法。
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本文引用的文献

1
Dystrophia reticularis laminae pigmentosae retinae, an earlier not described hereditary eye disease.
Acta Ophthalmol (Copenh). 1950;28(3):279-95.
2
HEREDITARY CHORIO-RETINAL DEGENERATIONS AND METABOLIC DISTURBANCES.遗传性脉络膜视网膜变性与代谢紊乱
Exp Eye Res. 1964 Dec;3:405-11. doi: 10.1016/s0014-4835(64)80052-x.
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[Carrier of the gene of atrophia gyrata choroidae et retinae of Fuchs (Alder's anomaly)].
Bull Soc Belge Ophtalmol. 1959;122:367-82.
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Reticular dystrophy of the retinal pigment epithelium. Dystrophia reticularis laminae pigmentosa retinae of H. Sjogren.
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Hyperornithinemia, hyperammonemia, and homocitrullinuria. A new disorder of amino acid metabolism associated with myoclonic seizures and mental retardation.高鸟氨酸血症、高氨血症和同型瓜氨酸尿症。一种与肌阵挛性癫痫和智力发育迟缓相关的新的氨基酸代谢紊乱疾病。
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[Ornithinemia, additional disorder of amino acid metabolism with brain damage].[鸟氨酸血症,伴有脑损伤的另一种氨基酸代谢紊乱]
Dtsch Med Wochenschr. 1968 Nov 22;93(47):2247-51. doi: 10.1055/s-0028-1110918.
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Ornithine-ketoacid transaminase activity in human skin and amniotic fluid cell culture.人皮肤和羊水细胞培养中的鸟氨酸-酮酸转氨酶活性
Clin Chim Acta. 1970 Jan;27(1):73-5. doi: 10.1016/0009-8981(70)90376-1.
8
Differential diagnosis between the primary total choroidal vascular atrophies.原发性全脉络膜血管萎缩之间的鉴别诊断。
Br J Ophthalmol. 1974 Jan;58(1):24-35. doi: 10.1136/bjo.58.1.24.
9
Gyrate atrophy of the choroid and retina associated with hyperornithinaemia.与高鸟氨酸血症相关的脉络膜和视网膜回旋状萎缩。
Br J Ophthalmol. 1974 Jan;58(1):3-23. doi: 10.1136/bjo.58.1.3.
10
A multipurpose optical system for ophthalmic electrodiagnosis.一种用于眼科电诊断的多功能光学系统。
Ophthalmologica. 1974;168(4):308-14. doi: 10.1159/000307053.