Severe Macular Atrophy in an Infant With Neuromuscular Oculoauditory Syndrome.

IF 1.1 4区 医学 Q4 OPHTHALMOLOGY
Justin S Yun, Marcus H Yamamoto, Alejandro I Marin, Carla Sargiotto, Daniela N Schweitzer, Irena Tsui
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引用次数: 0

Abstract

Pathogenic variants in DEAH-box helicase 16 (DHX16) that are critical regulators of mRNA metabolism have been linked to neuromuscular oculoauditory syndrome (NMOAS), a rare disorder characterized by sensorineural hearing loss, neuromuscular deficits, and retinal abnormalities. This report covers a rare case of a 6-month-old girl with congenital SNHL, global hypotonia, and distinctive bilateral retinal dystrophy. Eye exam revealed severe macular atrophy with peripheral pigmentary changes. Spectral-domain optical coherence tomography confirmed outer retinal thinning and disruption of the photoreceptor integrity. Whole trio genome sequencing identified a de novo heterozygous variant in DHX16, c.1360C>T (p.Arg454Trp), previously described in only one patient, and classified as likely pathogenic. This case expands the understanding of DHX16-associated NMOAS and the importance of comprehensive ophthalmological assessment and genetic analysis in infants with multisystem involvement.

患有神经肌肉眼听综合征的婴儿的严重黄斑萎缩。
DEAH-box解旋酶16 (DHX16)的致病变异是mRNA代谢的关键调节因子,与神经肌肉眼听综合征(NMOAS)有关,NMOAS是一种罕见的疾病,以感觉神经性听力损失、神经肌肉缺陷和视网膜异常为特征。本报告报告一例罕见的6个月大的女婴先天性SNHL,全身性低张力,和独特的双侧视网膜营养不良。眼部检查发现严重黄斑萎缩伴周围色素改变。光谱域光学相干断层扫描证实了视网膜外层变薄和光感受器完整性的破坏。全基因组测序鉴定出DHX16中c.1360C>T (p.Arg454Trp)的新杂合变异,以前仅在一名患者中描述过,并被归类为可能致病。本病例扩展了对dhx16相关NMOAS的理解,以及对多系统受累婴儿进行综合眼科评估和遗传分析的重要性。
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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
89
期刊介绍: OSLI Retina focuses exclusively on retinal diseases, surgery and pharmacotherapy. OSLI Retina will offer an expedited submission to publication effort of peer-reviewed clinical science and case report articles. The front of the journal offers practical clinical and practice management features and columns specific to retina specialists. In sum, readers will find important peer-reviewed retina articles and the latest findings in techniques and science, as well as informative business and practice management features in one journal.
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