" /> Papillorenal syndrome - CISMeF





Preferred Label : Papillorenal syndrome;

Symbol : PAPRS;

CISMeF acronym : PAPRS;

Type : Phenotype, molecular basis known;

Alternative titles and symbols : Coloboma of optic nerve with renal disease; Renal-coloboma syndrome with macular abnormalities; Renal-coloboma syndrome; Cakut with or without ocular abnormalities; Congenital anomalies of the kidney and urinary tract with or without ocular abnormalities; Optic nerve coloboma with renal disease; Optic coloboma, vesicoureteral reflux, and renal anomalies;

Description : Papillorenal syndrome is an autosomal dominant disorder characterized by both ocular and renal anomalies, but may also include vesicoureteral reflux, high frequency hearing loss, central nervous system anomalies, and/or genital anomalies, consistent with the expression of PAX2 in these tissues during development (summary by Eccles and Schimmenti, 1999). Parsa et al. (2002) noted that the dysplastic discs seen in papillorenal syndrome are not true colobomas: defective angiogenesis, rather than abnormal fissure closure, underlies the anomalous disc morphology as well as the retinal and choroidal hypoplasia with corresponding visual field defects. Affected individuals show multiple cilioretinal vessels and a variable attenuation or absence of the central retinal vessels. Alterations in vascular development also explain observed abnormalities of the renal cortex, the second most perfused tissue per gram of weight in the human body (after the choroid). Eye anomalies in this disorder consist of a wide and sometimes excavated dysplastic optic disc with the emergence of the retinal vessels from the periphery of the disc, designated optic nerve 'coloboma' or 'morning glory' anomaly. Associated findings may include a small corneal diameter, retinal coloboma, scleral staphyloma, optic nerve cyst, microphthalmia, and pigmentary macular dysplasia. The kidneys are small and abnormally formed (renal hypodysplasia), and have fewer than the normal number of glomeruli, which are enlarged (oligomeganephronia). These ocular and renal anomalies result in decreased visual acuity and retinal detachment, as well as hypertension, proteinuria, and renal insufficiency that frequently progresses to end-stage renal disease (summary by Schimmenti, 2011).;

Inheritance : Autosomal dominant;

Molecular basis : Caused by mutation in the paired box homeotic gene 2 (PAX2, 167409.0001);

Laboratory abnormalities : Proteinuria;

Prefixed ID : #120330;

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02/05/2025


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