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Asymmetric choroidal hypopigmentation in a Son and mother with Waardenburg syndrome type I

机译:戴维登堡综合征类型的儿子和母亲在儿子和母亲中的不对称脉络膜低层化

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Background: Waardenburg syndrome type I (WS-I) is a rare autosomal-dominant auditory-pigmentary disorder with limited reports in the Ophthalmic literature. Materials and Methods: We describe the history, clinical findings and detailed retinal imaging (ultra-widefield fundus images, fundus autofluorescence and optical coherence tomography) from a patient with WS-I. Case Description: Our patient had a history of white forelock and congenital hearing loss. Ophthalmic examination demonstrated iris heterochromia and highly asymmetric choroidal hypopigmentation, with generalised fundus hyperautofluorescence. Similarly, the patient's mother demonstrated highly asymmetric fundus hypopigmentation. Genetic testing confirmed a pathogenic PAX3 nonsense variant. Conclusion: Our report demonstrates that highly asymmetric choroidal hypopigmentation is within the clinical spectrum of WS-I.
机译:背景:Waardenburg综合征I型(WS-I)是一种稀有的常血体素 - 显性听觉 - 色素紊乱,在眼科文献中具有有限的报告。 材料和方法:我们描述了从带有WS-I的患者的历史,临床发现和详细的视网膜成像(超广域眼底图像,眼底自发荧光和光学相干扫描)。 案例描述:我们的患者有白人重建和先天性听力损失的历史。 眼科检查证明了虹膜异质瘤和高度不对称的脉络膜低血入,具有广义眼底荧光。 同样,患者的母亲展示了高度不对称的眼底性过度敏感。 遗传检测证实了致病PAX3非阵容变体。 结论:我们的报告表明,高度不对称的脉络膜低自置化在WS-1的临床谱内。

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