Purpose This study aimed to describe the intrafamilial phenotypic variability and natural history of a -related retinal dystrophy. Methods We performed a retrospective chart review of seven patients from the same family, five of whom had the c.828+3A>T pathogenic variant, characterizing the natural history and intrafamilial phenotypic variation. Results Over the course of nine years, two patients had a deterioration of vision, one had unchanged visual acuity, and four were lost to follow-up after diagnosis. Two patients developed choroidal neovascular membranes. Five family members completed genetic testing. Conclusions In the current case series, we described the various phenotypes associated with the pathogenic variants in related individuals of the same family. We tracked the changes in visual acuity and phenotype in three related patients over five to nine years. Translational relevance Studying the natural history and phenotypic variations of the gene can lead to targeted therapeutic interventions and personalized treatment strategies for affected individuals.
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http://dx.doi.org/10.7759/cureus.72580 | DOI Listing |
Pediatr Rheumatol Online J
December 2024
Translational Genetics Research Group, La Fe Health Research Institute (IIS La Fe), Avenida Fernando Abril Martorell nº 106 Tower A, 7th Floor, Valencia, Spain.
Background: Aicardi-Goutières Syndrome is a monogenic type 1 interferonopathy with infantile onset, characterized by a variable degree of neurological damage. Approximately 7% of Aicardi-Goutières Syndrome cases are caused by pathogenic variants in the ADAR gene and are classified as Aicardi-Goutières Syndrome type 6. Here, we present a new homozygous pathogenic variant in the ADAR gene.
View Article and Find Full Text PDFBMJ Case Rep
December 2024
Ophthalmology, Penn State College of Medicine, Hershey, Pennsylvania, USA.
Bardet-Biedl syndrome (BBS), an autosomal recessive ciliopathy with pleiotropic effects, manifests as a spectrum of anomalies involving multiple genes and affects fewer than 3,000 individuals in the USA. Due to its rarity and phenotypic variability, early diagnosis of BBS poses a significant challenge. Therefore, we aim to shed light on the intrafamilial phenotypic variation of BBS resulting from a variant by delineating the clinical presentation in two siblings.
View Article and Find Full Text PDFAm J Med Genet A
December 2024
Medical and Laboratory Genetic Unit, Antonio Cardarelli Hospital, Naples, Italy.
Cureus
October 2024
Ophthalmology, University of Arkansas for Medical Sciences, Little Rock, USA.
Neurol Genet
December 2024
From the Department of Neurology (A.V., M.V.P., D.S.); Department of Clinical Genomics (L.A.S.); Division of Pediatric Pulmonology (N.D., R.P.B.), Department of Pediatrics and Adolescent Medicine; Division of Pediatric Rehabilitation Medicine, Department of Physical Medicine and Rehabilitation (A.E.R.); and Department of Pediatrics and Adolescent Medicine (C.R.F.), Mayo Clinic.
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