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Retinitis pigmentosa 3(RP15; RP3)

MedGen UID:
336999
Concept ID:
C1845667
Disease or Syndrome
Synonyms: Choroidoretinal degeneration with retinal reflex in heterozygous women; Cone-rod degeneration X-linked; Retinitis pigmentosa 15
 
Gene (location): RPGR (Xp11.4)
 
Monarch Initiative: MONDO:0010227
OMIM®: 300029

Definition

X-linked retinitis pigmentosa (XLRP) is a severe form of inherited retinal degeneration that primarily affects the rod photoreceptors (Demirci et al., 2002). It typically causes an early-onset night blindness and loss of peripheral vision, often causing patients to become legally blind by the age of 30 to 40 years. In RP3, affected males have a severe phenotype, and carrier females show a wide spectrum of clinical features ranging from completely asymptomatic to severe RP (Jin et al., 2007). Mutation in the RPGR gene is believed to account for approximately 70% of XLRP (Vervoort et al., 2000). For a discussion of genetic heterogeneity of retinitis pigmentosa, see 268000. [from OMIM]

Clinical features

From HPO
Photophobia
MedGen UID:
43220
Concept ID:
C0085636
Sign or Symptom
Excessive sensitivity to light with the sensation of discomfort or pain in the eyes due to exposure to bright light.
Night blindness
MedGen UID:
10349
Concept ID:
C0028077
Disease or Syndrome
Inability to see well at night or in poor light.
Color vision defect
MedGen UID:
115964
Concept ID:
C0234629
Finding
An anomaly in the ability to discriminate between or recognize colors.
Reduced visual acuity
MedGen UID:
65889
Concept ID:
C0234632
Finding
Diminished clarity of vision.
Constriction of peripheral visual field
MedGen UID:
68613
Concept ID:
C0235095
Finding
An absolute or relative decrease in retinal sensitivity extending from edge (periphery) of the visual field in a concentric pattern. The visual field is the area that is perceived simultaneously by a fixating eye.
High myopia
MedGen UID:
78759
Concept ID:
C0271183
Disease or Syndrome
A severe form of myopia with greater than -6.00 diopters.
Ring scotoma
MedGen UID:
140951
Concept ID:
C0438434
Finding
An annular field defect centered on fixation.
Bone spicule pigmentation of the retina
MedGen UID:
323029
Concept ID:
C1836926
Finding
Pigment migration into the retina in a bone-spicule configuration (resembling the nucleated cells within the lacuna of bone).
Rod-cone dystrophy
MedGen UID:
1632921
Concept ID:
C4551714
Disease or Syndrome
An inherited retinal disease subtype in which the rod photoreceptors appear to be more severely affected than the cone photoreceptors. Typical presentation is with nyctalopia (due to rod dysfunction) followed by loss of mid-peripheral field of vision, which gradually extends and leaves many patients with a small central island of vision due to the preservation of macular cones.
Perifoveal hypoautofluorescence
MedGen UID:
1814406
Concept ID:
C5676842
Finding
Decreased amount of autofluorescence (emission of fluorescent light from ocular structures in the absence of sodium fluorescein) in the retina in the region surrounding the fovea.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  

Recent clinical studies

Etiology

Richard AI
Nig Q J Hosp Med 2010 Jul-Sep;20(3):125-8. PMID: 21033320
Oluleye TS, Ajaiyeoba AI, Fafowora OF, Olusanya BA
Int J Clin Pract 2005 Aug;59(8):950-2. doi: 10.1111/j.1742-1241.2005.00541.x. PMID: 16033618

Diagnosis

Palmowski-Wolfe A, Stingl K, Habibi I, Schorderet D, Tran HV
Klin Monbl Augenheilkd 2019 Apr;236(4):562-567. Epub 2019 Jan 15 doi: 10.1055/a-0811-5480. PMID: 30646425
Richard AI
Nig Q J Hosp Med 2010 Jul-Sep;20(3):125-8. PMID: 21033320
Oluleye TS, Ajaiyeoba AI, Fafowora OF, Olusanya BA
Int J Clin Pract 2005 Aug;59(8):950-2. doi: 10.1111/j.1742-1241.2005.00541.x. PMID: 16033618

Therapy

Oluleye TS, Ajaiyeoba AI, Fafowora OF, Olusanya BA
Int J Clin Pract 2005 Aug;59(8):950-2. doi: 10.1111/j.1742-1241.2005.00541.x. PMID: 16033618

Prognosis

Guyon R, Pearce-Kelling SE, Zeiss CJ, Acland GM, Aguirre GD
Mol Vis 2007 Jul 11;13:1094-105. PMID: 17653054Free PMC Article
Budu, Matsumoto M, Hayasaka S, Yamada T, Hayasaka Y
Jpn J Ophthalmol 2000 Nov-Dec;44(6):610-4. doi: 10.1016/s0021-5155(00)00286-0. PMID: 11094174
Roepman R, van Duijnhoven G, Rosenberg T, Pinckers AJ, Bleeker-Wagemakers LM, Bergen AA, Post J, Beck A, Reinhardt R, Ropers HH, Cremers FP, Berger W
Hum Mol Genet 1996 Jul;5(7):1035-41. doi: 10.1093/hmg/5.7.1035. PMID: 8817343

Clinical prediction guides

Guyon R, Pearce-Kelling SE, Zeiss CJ, Acland GM, Aguirre GD
Mol Vis 2007 Jul 11;13:1094-105. PMID: 17653054Free PMC Article
Roepman R, van Duijnhoven G, Rosenberg T, Pinckers AJ, Bleeker-Wagemakers LM, Bergen AA, Post J, Beck A, Reinhardt R, Ropers HH, Cremers FP, Berger W
Hum Mol Genet 1996 Jul;5(7):1035-41. doi: 10.1093/hmg/5.7.1035. PMID: 8817343

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