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  • Title: Vitamin A deficiency due to bi-allelic mutation of RBP4: There's more to it than meets the eye.
    Author: Khan KN, Carss K, Raymond FL, Islam F, Nihr BioResource-Rare Diseases Consortium, Moore AT, Michaelides M, Arno G.
    Journal: Ophthalmic Genet; 2017; 38(5):465-466. PubMed ID: 27892788.
    Abstract:
    Vitamin A deficiency is the leading cause of preventable blindness in children worldwide and results in a well-recognized ocular phenotype. Herein we describe a patient presenting to the eye clinic with a retinal dystrophy and ocular colobomata. This combination of clinical signs and consanguineous pedigree structure suggested a genetic basis for the disease, a hypothesis that was tested using whole genome sequencing. Bi-allelic mutations in RBP4 were identified (c.248+1G>A), consistent with a diagnosis of inherited vitamin A deficiency. We describe a constellation of signs that appear to be characteristic for this disease, increasing clinical awareness of this rare condition.
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