Individual #00404841

ID_report Case 1
Reference PubMed: Matson 2015
Remarks Family 1, individual II:1
Gender M
Consanguinity -
Country United States
Population black
Age at death -
VIP -
Data_av -
Treatment -
Panel size 1
Diseases retinal disease
Owner name LOVD
Database submission license Creative Commons Attribution 4.0 InternationalCreative Commons License
Created by Anna Tracewska
Date created 2022-03-09 13:01:11 +01:00 (CET)
Date last edited 2022-03-09 13:08:36 +01:00 (CET)


Phenotypes

retinal disease (-)   Add phenotype for this disease

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Owner     
0000297405 39y, fundus: bilateral round, yellow lesions located superior temporal to the maculae; 52y best-corrected visual acuities: 20/20; 4-diopter hyperopic prescription at distance in each eye; pupils and extraocular motilities, anterior segment: normal; Goldmann applanation tonometry right/left eye: 13 mm Hg / 15 mm Hg; fundus: bilateral atrophic round lesions, about 1.0 to 1.5 disc diameters in size, located in the superior temporal arcade, each lesion appeared to have a slight amount of possible lipofuscin material on the inferior edge; central macula flat and homogenous in each eye; optic nerves pink with distinct margins, cup-to-disc ratio right/left eye: 0.35 / 0.30; peripheral fundus: normal. 6 months: Heidelberg retina angiography + optical coherence tomography in central macula: normal foveal contour; optical coherence tomography of the superior nasal portion of the lesions: subretinal fluid greater right than left eye with disruption of the inner/outer segment junction and outer retinal layers; Retinal atrophy with loss of the outer retinal layers most prominently in left eye; scans through the inferior edge of the lesion right eye: dense hyperreflective deposits with trace subretinal fluid located between the retinal pigment epithelium (RPE) and the inner/outer segment junction; fundus autofluorescence: hyperfluorescence throughout the lesions, increasing more toward the periphery in the areas containing lipofuscin or stressed RPE cells. Prominent circular areas of hypofluorescence with surrounding mottled hypofluorescence delineated atrophy or loss of RPE cells; full field electroretinography and visual evoked response imaging system: scotopic responses for the dark adapted rod response: decreased amplitude and increased latency, scotopic combined, single flash cone, and photopic flicker responses: normal; electrooculography Arden ratio right/left eye: 1.371 / 1.291 (time to peak of 10.8 minutes); fluorescein angiography: slight hyperfluorescence of the lesions with an absence of fluorescence at the areas of atrophy, hyperfluorescent areas gradually increased fluorescence and then slightly decreased in late phase, atrophic areas demonstrated late staining; no choroidal neovascular membrane - Atypical Best Vitelliform Dystrophy Familial, autosomal dominant 52y 16y - - - LOVD



Screenings


AscendingScreening ID     

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Owner     
0000406081 DNA SEQ - - BEST1 1 LOVD



Variants

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11 Maternal (inferred) +?/. - likely pathogenic g.61719286T>A g.61951814T>A BEST1 c.8T>A (p.I3N) - BEST1_000354 heterozygous PubMed: Matson 2015 - - Germline yes - - - - LOVD BEST1 - - - - - NM_004183.3:c.8T>A - r.(?) p.(Ile3Asn) - - - - - - - - - - - - - -
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