Individual #00417668

ID_report Family-A proband
Reference PubMed: Heller 2017
Remarks -
Gender F
Consanguinity -
Country Israel
Population Syrian Jewish
Age at death -
VIP -
Data_av -
Treatment -
Panel size 1
Diseases GACR
Owner name LOVD
Database submission license Creative Commons Attribution 4.0 InternationalCreative Commons License
Created by Anna Tracewska
Date created 2022-09-21 12:32:41 +02:00 (CEST)
Date last edited N/A


Phenotypes

atrophy, gyrate, of choroid and retina (GACR; ornithine aminotransferase deficiency (OATD)) (GACR;OATD)   Add phenotype for this disease

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Owner     
0000309102 presented with history of progressive night blindness and visual impairment over several years; no family history of similar complaints; systemic examination: unremarkable; serum ornithine levels: markedly elevated (697 umol/l, reference range 19-81 umol/l); best corrected visual acuity: 6/120 both eyes; refractive error: right / left eye: - 4.0-1.25 X 40 / -7.50 -1.50 X 155; visual fields: constricted; slit-lamp examination: bilateral posterior subcapsular cataracts; fundoscopy: bilateral sharply demarcated circular areas of chorioretinal atrophy involving the mid-periphery, the posterior pole relatively spared of these lesions, large round atrophic lesion at the temporal side of the right's eye macula and several tiny spots of atrophy along the superior temporal arcade, both foveal reflexes blunted, suggestive of central macular edema; fundus autofluorescence: loss of autofluorescence corresponding to areas of atrophy at periphery, hyperautofluorescent ring within the macula, center of this ring exhntense foveal autofluorescence, there elevated pinkish-yellow lesions with occasional tiny spots of calcification over both optic discs - their clinical and ultrasonography appearance consistent with optic nerve astrocytic hamartoma (rarely associated with gyrate atrophy); at presentation spectral domain optical coherence tomography exams right / left eye: bilateral severe central macular edema with central macular thickness of 670 um / 565 um; after 3 months of treatment (diet and pyridoxine), a significant decrease in serum ornithine levels from 697 to 450 umol/l measured, and marked improvement in central macular edema seen (central macular thickness reduced by 270 / 161 um); bilateral visual improvement - best corrected visual acuity right, left eye: 6/30, 6/21, waning of the central autofluorescence intensity; 18m follow-up, the patient failed to adhere to treatment and serum ornithine concentrations has elevated back to 589 umol/l - despite this increment, macular thickness and vision remained stable - atrophy, gyrate, of choroid and retina (GACR; ornithine aminotransferase deficiency (OATD)) Familial, autosomal recessive 28y - - - - LOVD



Screenings


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Owner     
0000418961 DNA SEQ - - OAT 1 LOVD



Variants

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10 Both (homozygous) +?/. - likely pathogenic g.126100582del g.124412013del OAT c.159delC, p.(H53Qfs7*) - OAT_000029 homozygous PubMed: Heller 2017 - - Germline yes - - - - LOVD OAT - - - - - NM_000274.3:c.159delC - r.(?) p.(His53Glnfs*8) - - - - - - - - - - - - - -
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