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Pediatric primary calcific band keratopathy with or without glaucoma from biallelic SLC4A4 mutations
1a Eye Institute, Cleveland Clinic Abu Dhabi , Abu Dhabi , United Arab Emirates.
Insights
Biallelic mutations in the Solute Carrier Family 4 Member 4 (SLC4A4) gene can cause various health issues in children. A specific SLC4A4 mutation presents solely with ocular problems, as seen in this case series.
Area of Science:
- Genetics
- Ophthalmology
- Pediatrics
Background:
- Biallelic mutations in the Solute Carrier Family 4 Member 4 (SLC4A4) gene are associated with a spectrum of pediatric conditions.
- These conditions include proximal renal tubular acidosis, developmental delay, band keratopathy, and glaucoma.
Observation:
- This study focuses on children referred to pediatric ophthalmology evaluations.
- The researchers investigated cases where children were found to have underlying biallelic SLC4A4 mutations.
Findings:
- A unique SLC4A4 mutation was identified, leading to an ocular-only phenotype.
- This highlights the diverse clinical presentations associated with SLC4A4 gene mutations.
Implications:
- Understanding the genotype-phenotype correlation of SLC4A4 mutations is crucial for accurate diagnosis.
- Early identification of SLC4A4-related ocular conditions can guide timely management and improve patient outcomes.
Abstract:
Biallelic mutations in the gene SLC4A4 (Solute Carrier Family 4 Member 4) cause protean manifestations in children that include proximal retinal tubular acidosis, developmental delay, band keratopathy, and glaucoma. A unique SLC4A4 mutation causes an ocular-only phenotype. In this retrospective case series, we highlight our experience with children referred to a pediatric ophthalmologist who were found to harbor underlying biallelic SLC4A4 mutations.
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