Diagnostic definition of malattia leventinese in a family from Colombia

Nancy Gelvez, Paula Hurtado-Villa, Silvia Flórez, Anne Charlotte Brieke, Francisco Rodríguez, Ana María Bertolotto, Martha L. Tamayo, .

Keywords: retinal dystrophies, retinal pigment epithelium, macular degeneration, retina

Abstract

The malattia leventinese is an autosomal dominant inherited disease whose symptoms appear between the second and fourth decades of life. It is characterized by the appearance of drusen located between the retinal pigment epithelium and the Bruch membrane. It is usually associated with low vision and may progress to blindness. The pathogenic variant p.Arg345Trp in the EFEMP1 gene has been associated with this disease. We characterized clinically and molecularly a family with malattia leventinese using a comprehensive approach that involved ophthalmologists, pediatricians, and geneticists. This approach is of great importance since the phenotype of this disease is often confused with acular degeneration. All family members underwent ophthalmological evaluation and DNA extraction from a peripheral blood sample. All exons of the EFEMP1 gene were amplified and sequenced. The pathogenic variant p.Arg345Trp was identified in affected individuals in this family.
This is the first report of malattia leventinese in a family with the p.Arg345Trp pathogenic variant in Colombia. The molecular diagnosis of retinal dystrophies is essential to differentiate this type of pathology.

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  • Nancy Gelvez Instituto de Genética Humana, Pontificia Universidad Javeriana, Bogotá D.C., Colombia https://orcid.org/0000-0002-3925-1451
  • Paula Hurtado-Villa Facultad de Ciencias de la Salud, Pontificia Universidad Javeriana, Cali, Colombia https://orcid.org/0000-0003-3822-7780
  • Silvia Flórez Independiente, Cúcuta, Colombia
  • Anne Charlotte Brieke Fundación Oftalmológica Nacional, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, D.C., Colombia
  • Francisco Rodríguez Fundación Oftalmológica Nacional, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, D.C., Colombia https://orcid.org/0000-0002-1728-3444
  • Ana María Bertolotto Departamento de Pediatría, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, D.C., Colombia; Servicio de Pediatría, Hospital Universitario San Ignacio, Bogotá, D.C., Colombia https://orcid.org/0000-0001-9795-6866
  • Martha L. Tamayo Instituto de Genética Humana, Pontificia Universidad Javeriana, Bogotá D.C., Colombia https://orcid.org/0000-0001-8297-3970

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How to Cite
1.
Gelvez N, Hurtado-Villa P, Flórez S, Brieke AC, Rodríguez F, Bertolotto AM, et al. Diagnostic definition of malattia leventinese in a family from Colombia. biomedica [Internet]. 2021 Sep. 22 [cited 2024 May 17];41(3):388-95. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/5604
Published
2021-09-22
Section
Case presentation

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