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Inherited ectopia lentis (EL) is most commonly caused by Marfan syndrome (MFS), a multisystemic disorder caused by mutations in FBN1. Historically the diagnosis for patients with EL who have no systemic features of MFS is isolated EL (IEL). However, the Ghent nosology for MFS was updated in 2010 and made some important alterations. In particular, patients with EL and a FBN1 mutation are now categorically diagnosed with MFS, if their mutation has previously been described with aortic dilation/dissection. This carries significant systemic implications, as many patients previously diagnosed with IEL are now reclassified. We provide a review of all published cases of IEL caused by FBN1 mutations over the last 20 years to assess what impact the new Ghent nosology has on these. Indeed, 57/123 probands (46.3

作者:A, Chandra;D, Patel;J A, Aragon-Martin;A, Pinard;G, Collod-Béroud;P, Comeglio;C, Boileau;L, Faivre;D, Charteris;A H, Child;G, Arno

来源:Clinical genetics 2015 年 87卷 3期

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作者:
A, Chandra;D, Patel;J A, Aragon-Martin;A, Pinard;G, Collod-Béroud;P, Comeglio;C, Boileau;L, Faivre;D, Charteris;A H, Child;G, Arno
来源:
Clinical genetics 2015 年 87卷 3期
标签:
FBN1 Marfan syndrome ectopia lentis isolated ectopia lentis mutation
Inherited ectopia lentis (EL) is most commonly caused by Marfan syndrome (MFS), a multisystemic disorder caused by mutations in FBN1. Historically the diagnosis for patients with EL who have no systemic features of MFS is isolated EL (IEL). However, the Ghent nosology for MFS was updated in 2010 and made some important alterations. In particular, patients with EL and a FBN1 mutation are now categorically diagnosed with MFS, if their mutation has previously been described with aortic dilation/dissection. This carries significant systemic implications, as many patients previously diagnosed with IEL are now reclassified. We provide a review of all published cases of IEL caused by FBN1 mutations over the last 20 years to assess what impact the new Ghent nosology has on these. Indeed, 57/123 probands (46.3