An inherited disorder with splenomegaly, cytopenias, and vision loss.
We describe a novel inherited disorder consisting of idiopathic massive splenomegaly, cytopenias, anhidrosis, chronic optic nerve edema, and vision loss. This disorder involves three affected patients in a single non-consanguineous Caucasian family, a mother and two daughters, who are half-sisters. All three patients have had splenectomies; histopathology revealed congestion of the red pulp, but otherwise no abnormalities. Electron microscopic studies of splenic tissue showed no evidence for a storage disorder or other ultrastructural abnormality. Two of the three patients had bone marrow examinations that were non-diagnostic. All three patients developed progressive vision loss such that the two oldest patients are now blind, possibly due to a cone-rod dystrophy. Characteristics of vision loss in this family include early chronic optic nerve edema, and progressive vision loss, particularly central and color vision. Despite numerous medical and ophthalmic evaluations, no diagnosis has been discovered.
Department of Internal Medicine, University of Utah Health Sciences Center, Salt Lake City, Utah 84132, USA.
Srinivas K
SK
Tantravahi
Lloyd B
LB
Williams
Kathleen B
KB
Digre
Donnell J
DJ
Creel
Kristi J
KJ
Smock
Margaret M
MM
DeAngelis
Frederic C
FC
Clayton
Albert T
AT
Vitale
George M
GM
Rodgers
D000015:Abnormalities, Multiple / Q000235:genetics*; D000293:Adolescent; D000328:Adult; D005260:Female; D030342:Genetic Diseases, Inborn / Q000235:genetics*; D006801:Humans; D008297:Male; D008854:Microscopy, Electron; D010198:Pancytopenia / Q000235:genetics*; D010375:Pedigree; D013163:Splenomegaly / Q000235:genetics*; D014786:Vision Disorders / Q000235:genetics*