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Retinitis Pigmentosa 42

OMIM ID:

autosomal dominant

Retinitis Pigmentosa 42

Alternate Names

RP42

Defective Genes

KLHL7

Clinical Characteristics

Ocular Features

The fundus phenotype of retinitis pigmentosa appears late.  Night vision difficulties are prominent symptoms but the age of onset is unknown. Reduction in visual acuity is variable and is usually not manifest until 50 years of age but it may remain near normal or in that range for another decade or two.  Concentric constriction (within 10-20 central degrees) in peripheral fields can be a presenting symptom and may not appear until age 65 years of age.  Patches of visual field retention can sometimes be demonstrated in the periphery.  Rod and cone full field ERG amplitudes are substantially reduced

Systemic Features

None.

Genetics

Inheritance

Heterozygous mutations in KLHL7 (7p15.3) segregate with the clinical phenotype.

Homozygous mutations in the KLHL7 gene cause cold-induced sweating syndrome 3 (CISS3) (617055).

Pedigree

Autosomal dominant

Autosomal dominant disorders require only one mutation for the disease to be expressed.  Since an affected parent has two chromosomes, only one of which has the mutant gene, parents can expect that half (50%) of their children will receive that one and inherit the disease.  It is common for individuals that inherit the mutation, however, to not have evidence of the disease (nonpenetrance).

Image
Sample pedigree of autosomal dominant inheritance

Autosomal dominant inheritance leads to a vertical pattern of transmission

Treatment & Management

None known.

Selected Resources

Publications

Displaying 1 - 2 of 2

Mutations in a BTB-Kelch Protein, KLHL7, Cause Autosomal-Dominant Retinitis Pigmentosa

PubMedID: 19520207

Phenotypic Characterization of 3 Families With Autosomal Dominant Retinitis Pigmentosa Due to Mutations in KLHL7

PubMedID: 22084217