Atypical retinopathy in patients with nephronophthisis type 1: an uncommon ophthalmological finding

Title
Atypical retinopathy in patients with nephronophthisis type 1: an uncommon ophthalmological finding
Author(s)
강희경[강희경]안요한[안요한]김전훈[김전훈]하일수[하일수]유영석[유영석]정해일[정해일]박용훈
Keywords
FAMILIAL JUVENILE NEPHRONOPHTHISIS; RETINAL CILIOPATHIES; JOUBERT-SYNDROME; KIDNEY-DISEASE; AHI1 MUTATIONS; GENE; PROTEIN; NPHP1; MECHANISMS; CAVEOLIN-1
Issue Date
201507
Publisher
WILEY-BLACKWELL
Citation
CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, v.43, no.5, pp.437 - 442
Abstract
BackgroundProgressive retinal degeneration without retinal pigmentation has been repeatedly observed in Korean nephronophthisis (NPHP) type 1 patients with a total homozygous deletion of NPHP1. DesignRetrospective case series. ParticipantsPatients with clinical diagnosis of NPHP and genetic diagnosis of total deletion of NPHP1 (n=5) were included in this study. MethodsPatients with clinical diagnosis of NPHP (n=57) were screened for total deletion of NPHP1 by polymerase chain reaction (PCR) for the 20 exons of NPHP1. The clinical and ophthalmological findings of NPHP type 1 patients were reviewed. Additionally, four exons of MALL, a gene adjacent to NPHP1, were amplified using PCR, and amplification failure was considered a homozygous deletion encompassing the corresponding exons. Main Outcome MeasureOphthalmological findings in NPHP type 1 patients. ResultsFive of 57 patients with clinical diagnosis of NPHP were diagnosed as having NPHP type 1 by genetic analysis. Chronic renal failure was diagnosed in these five patients at 7.9-15.4 years of age. All the patients with NPHP type 1 had progressive decline in visual acuity with various ages of onset (2-17 years). Ophthalmological examinations revealed unexpected findings of retinopathy with large or small flecks, which was compatible with Stargardt-like retinopathy or albipunctatus retinopathy in majority of them (four of five). The genetic study revealed an additional deletion of exon 1 of the adjacent gene MALL. ConclusionsWe report the unexpectedly common retinal involvement of NPHP type 1 with an additional MALL deletion in a Korean cohort.
URI
http://hdl.handle.net/YU.REPOSITORY/31553http://dx.doi.org/10.1111/ceo.12469
ISSN
1442-6404
Appears in Collections:
의과대학 > 소아청소년과학교실 > Articles
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