Cone dystrophy associated with autoimmune polyglandular syndrome type 1

被引:0
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作者
Abdulrahman Badawi
Moustafa Magliyah
Omar Alabbasi
Lama AlAbdi
Fowzan S. Alkuraya
Patrik Schatz
Hani Basher ALBalawi
Marco Mura
机构
[1] King Khaled Eye Specialist Hospital,Vitreoretinal Division
[2] Prince Mohammed Medical City,Ophthalmology Department
[3] Almadinah Almonawwarah Hospital,Ophthalmology Department
[4] King Faisal Specialist Hospital and Research Center,Department of Translational Genomics, Center for Genomic Medicine
[5] King Saud University,Department of Zoology, Collage of Science
[6] Alfaisal University,Department of Anatomy and Cell Biology, College of Medicine
[7] University of Lund,Department of Ophthalmology, Clinical Sciences, Skane University Hospital
[8] University of Tabuk,Ophthalmology Division, Department of Surgery, Faculty of Medicine
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Scientific Reports | / 13卷
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摘要
To report the association of autoimmune polyglandular syndrome type 1 (APS1) with cone dystrophy in a large Saudi family. This is a Retrospective chart review and prospective genetic testing and ophthalmic examination of a large multiplex consanguineous family. Genetic testing was performed on 14 family members, seven of whom had detailed ophthalmic examinations. Medical history, ocular history and evaluation, visual field testing, full-field electroretinogram (ERG), and Whole Exome Sequencing (WES) results were analyzed. Three family members were homozygous for c.205_208dupCAGG;p.(Asp70Alafs*148) in AIRE and homozygous for c.481-1G>A in PDE6C. One additional family member was homozygous for only the AIRE variant and another additional family member was homozygous for only the PDE6C variant. All patients with homozygosity for the PDE6C variant had cone dystrophy, and all patients with homozygosity for the AIRE variant had APS1. In addition, two of the family members who were homozygous for the PDE6C and AIRE variants had reduced rod function on ERG. We report the co-inheritance for APS1 and PDE6C-related cone dystrophy, an unusual example of two seemingly independent recessive conditions coinciding within a family. Dual molecular diagnosis must be taken into account by ophthalmologists facing unusual constellations of findings, especially in consanguineous families.
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