Extending the ophthalmological phenotype of Galloway-Mowat syndrome with distinct retinal dysfunction: a report and review of ocular findings

Abstract Background Galloway-Mowat syndrome (GMS) is a rare autosomal recessive condition first described in 1968 and characterized by microcephaly and infantile onset of central nervous system (CNS) abnormalities resulting in severely delayed psychomotor development, cerebellar atrophy, epilepsy, a...

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Main Authors: Maha A. Al-Rakan, Manal D. Abothnain, Muhammad T. Alrifai, Majid Alfadhel
Format: Article
Language:English
Published: BMC 2018-06-01
Series:BMC Ophthalmology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12886-018-0820-4
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author Maha A. Al-Rakan
Manal D. Abothnain
Muhammad T. Alrifai
Majid Alfadhel
author_facet Maha A. Al-Rakan
Manal D. Abothnain
Muhammad T. Alrifai
Majid Alfadhel
author_sort Maha A. Al-Rakan
collection DOAJ
description Abstract Background Galloway-Mowat syndrome (GMS) is a rare autosomal recessive condition first described in 1968 and characterized by microcephaly and infantile onset of central nervous system (CNS) abnormalities resulting in severely delayed psychomotor development, cerebellar atrophy, epilepsy, and ataxia, as well as renal abnormalities such as nephrotic syndrome, proteinuria, end-stage renal disease (ESRD), and hiatal hernia. Case presentation We describe a GMS case diagnosed with homozygous missense mutation in the WDR73 gene, with absence of renal abnormalities. We expanded the clinical phenotype of GMS with WDR73 gene defect to include retinal dysfunction with missense mutation and developmental dysplasia of the hip. We compared eye findings of our case to previously reported cases, and we present an electroretinogram (ERG) picture for the first time in the literature. Conclusion We recommend that clinicians screen patients with GM syndrome for retinal dysfunction and that a skeletal survey should be done to detect developmental dysplasia of the hip (DDH) so as to provide for early intervention.
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spelling doaj.art-f020c2371d2d4ef6aac73b873f968a1b2022-12-22T00:20:01ZengBMCBMC Ophthalmology1471-24152018-06-011811410.1186/s12886-018-0820-4Extending the ophthalmological phenotype of Galloway-Mowat syndrome with distinct retinal dysfunction: a report and review of ocular findingsMaha A. Al-Rakan0Manal D. Abothnain1Muhammad T. Alrifai2Majid Alfadhel3Deapartment of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Saud UniversityDeapartment of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Saud UniversityDivision of Neurology, Department of Pediatrics, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Centre, King Abdullah Specialized Children’s Hospital, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs (NGHA)Division of Genetics, Department of Pediatrics, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Centre, King Abdullah Specialized Children Hospital, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs (NGHA)Abstract Background Galloway-Mowat syndrome (GMS) is a rare autosomal recessive condition first described in 1968 and characterized by microcephaly and infantile onset of central nervous system (CNS) abnormalities resulting in severely delayed psychomotor development, cerebellar atrophy, epilepsy, and ataxia, as well as renal abnormalities such as nephrotic syndrome, proteinuria, end-stage renal disease (ESRD), and hiatal hernia. Case presentation We describe a GMS case diagnosed with homozygous missense mutation in the WDR73 gene, with absence of renal abnormalities. We expanded the clinical phenotype of GMS with WDR73 gene defect to include retinal dysfunction with missense mutation and developmental dysplasia of the hip. We compared eye findings of our case to previously reported cases, and we present an electroretinogram (ERG) picture for the first time in the literature. Conclusion We recommend that clinicians screen patients with GM syndrome for retinal dysfunction and that a skeletal survey should be done to detect developmental dysplasia of the hip (DDH) so as to provide for early intervention.http://link.springer.com/article/10.1186/s12886-018-0820-4Galloway-Mowat syndromeWDR37Retinal dysfunctionAbsence of perinatal and neonatal renal dysfunction
spellingShingle Maha A. Al-Rakan
Manal D. Abothnain
Muhammad T. Alrifai
Majid Alfadhel
Extending the ophthalmological phenotype of Galloway-Mowat syndrome with distinct retinal dysfunction: a report and review of ocular findings
BMC Ophthalmology
Galloway-Mowat syndrome
WDR37
Retinal dysfunction
Absence of perinatal and neonatal renal dysfunction
title Extending the ophthalmological phenotype of Galloway-Mowat syndrome with distinct retinal dysfunction: a report and review of ocular findings
title_full Extending the ophthalmological phenotype of Galloway-Mowat syndrome with distinct retinal dysfunction: a report and review of ocular findings
title_fullStr Extending the ophthalmological phenotype of Galloway-Mowat syndrome with distinct retinal dysfunction: a report and review of ocular findings
title_full_unstemmed Extending the ophthalmological phenotype of Galloway-Mowat syndrome with distinct retinal dysfunction: a report and review of ocular findings
title_short Extending the ophthalmological phenotype of Galloway-Mowat syndrome with distinct retinal dysfunction: a report and review of ocular findings
title_sort extending the ophthalmological phenotype of galloway mowat syndrome with distinct retinal dysfunction a report and review of ocular findings
topic Galloway-Mowat syndrome
WDR37
Retinal dysfunction
Absence of perinatal and neonatal renal dysfunction
url http://link.springer.com/article/10.1186/s12886-018-0820-4
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AT muhammadtalrifai extendingtheophthalmologicalphenotypeofgallowaymowatsyndromewithdistinctretinaldysfunctionareportandreviewofocularfindings
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