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Ocular findings in Gillespie-like syndrome: Association with a new PAX6 mutation

Ocular findings in Gillespie-like syndrome: Association with a new PAX6 mutation
Ocular findings in Gillespie-like syndrome: Association with a new PAX6 mutation
Background: Gillespie syndrome is a rare variant form of aniridia, characterized by mental retardation, nonprogressive cerebellar ataxia, and iris hypoplasia. Unlike the more common dominant and sporadic forms of aniridia, there have been no associated PAX6 mutations or Wilms' tumor reported in Gillespie syndrome patients. Ocular findings in 21 cases published since Gillespie's initial description in 1965 include iris and foveal hypoplasia, nystagmus, and small optic discs with pigmentary retinopathy.
Case report: We herein report a case of atypical Gillespie syndrome associated with bilateral ptosis, exotropia, corectopia, iris hypoplasia, anterior capsular lens opacities, foveal hypoplasia, retinal vascular tortuosity, and retinal hypopigmentation. Neurologic evaluation revealed a mild hand tremor and learning disability, but no ataxia or cerebellar abnormalities on neuroimaging. Sequencing studies revealed a substitution in intron 2 of the PAX6 gene (IVS2 + 2T > A). To our knowledge, this is the first mutation of PAX6 gene reported in association with a Gillespie-like syndrome
cerebellar ataxia, gene, partial aniridia, foveal hypoplasia, missense mutations, mental retardation, hand, disability, family, time, gillespie syndrome, aniridia, PAX6, strabismus
1381-6810
145-149
Ticho, Benjamin H.
a6d71595-7044-4a49-993f-5df96246cd04
Hilchie-Schmidt, Clair
cbfef2a8-066b-433e-a034-21c4a266f020
Egel, Robert T.
2f9d4fd4-cb22-417b-b44b-1da631231637
Traboulsi, Elias I.
c440a1b2-b397-4e83-a285-72e32084c3db
Howarth, Rachel J.
ba913baf-d03f-4f55-8e8e-7e3b60a647d3
Robinson, David
dcef4b3b-ac9b-4c1b-b8b2-1bee4b81a8cc
Ticho, Benjamin H.
a6d71595-7044-4a49-993f-5df96246cd04
Hilchie-Schmidt, Clair
cbfef2a8-066b-433e-a034-21c4a266f020
Egel, Robert T.
2f9d4fd4-cb22-417b-b44b-1da631231637
Traboulsi, Elias I.
c440a1b2-b397-4e83-a285-72e32084c3db
Howarth, Rachel J.
ba913baf-d03f-4f55-8e8e-7e3b60a647d3
Robinson, David
dcef4b3b-ac9b-4c1b-b8b2-1bee4b81a8cc

Ticho, Benjamin H., Hilchie-Schmidt, Clair, Egel, Robert T., Traboulsi, Elias I., Howarth, Rachel J. and Robinson, David (2006) Ocular findings in Gillespie-like syndrome: Association with a new PAX6 mutation. Ophthalmic Genetics, 27 (4), 145-149. (doi:10.1080/13816810600976897).

Record type: Article

Abstract

Background: Gillespie syndrome is a rare variant form of aniridia, characterized by mental retardation, nonprogressive cerebellar ataxia, and iris hypoplasia. Unlike the more common dominant and sporadic forms of aniridia, there have been no associated PAX6 mutations or Wilms' tumor reported in Gillespie syndrome patients. Ocular findings in 21 cases published since Gillespie's initial description in 1965 include iris and foveal hypoplasia, nystagmus, and small optic discs with pigmentary retinopathy.
Case report: We herein report a case of atypical Gillespie syndrome associated with bilateral ptosis, exotropia, corectopia, iris hypoplasia, anterior capsular lens opacities, foveal hypoplasia, retinal vascular tortuosity, and retinal hypopigmentation. Neurologic evaluation revealed a mild hand tremor and learning disability, but no ataxia or cerebellar abnormalities on neuroimaging. Sequencing studies revealed a substitution in intron 2 of the PAX6 gene (IVS2 + 2T > A). To our knowledge, this is the first mutation of PAX6 gene reported in association with a Gillespie-like syndrome

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More information

Published date: December 2006
Keywords: cerebellar ataxia, gene, partial aniridia, foveal hypoplasia, missense mutations, mental retardation, hand, disability, family, time, gillespie syndrome, aniridia, PAX6, strabismus

Identifiers

Local EPrints ID: 60317
URI: http://eprints.soton.ac.uk/id/eprint/60317
ISSN: 1381-6810
PURE UUID: 01d2272e-3b62-4d34-acd8-8736899e229b

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Date deposited: 08 Sep 2008
Last modified: 15 Mar 2024 11:19

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Contributors

Author: Benjamin H. Ticho
Author: Clair Hilchie-Schmidt
Author: Robert T. Egel
Author: Elias I. Traboulsi
Author: Rachel J. Howarth
Author: David Robinson

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