Kearns-Sayre syndrome
About 2 pages (711 words)
Kearns-Sayre syndrome (abbreviated KSS ) is a disease caused by a 5,000 base deletion in the mitochondrial DNA . As such, it is a rare genetic disease in that it can be heteroplasmic , that is, more than one genome can be in a cell at any given time. Unlike most mitochondrial diseases , it is not maternally inherited. Rather, it occurs sporadically. Kearnes-Sayre syndrome starts before the age of 20.
Presentation
Its expression is systemic, but many of the most common expressions are in the eyes , with ophthalmoplegia and retinal degeneration, specifically retinitis pigmentosa , common features. Other characteristic features of KSS are dysphagia , proximal weakness, hearing loss , cerebellar ataxia and cardiac conduction defects. White matter lesions are usually seen.[1]
Prognosis
There is no treatment for Kearnes-Sayre syndrome as of now. In general, only palliative medications are available to sufferers in order to help relieve the symptoms of the disease.
Eponym
It is named for Thomas Kearns and George Sayre.[2] [3]
References
^ Filosto M, Tomelleri G, Tonin P, et al (2007). "Neuropathology of mitochondrial diseases". Biosci. Rep. 27 (1-3): 23–30. doi :10.1007/s10540-007-9034-3 . PMID 17541738 .
^ synd/1884 at Who Named It
^ Kearns T, Sayre G (1958). "Retinitis pigmentosa, external ophthalmophegia, and complete heart block: unusual syndrome with histologic study in one of two cases". A.M.A. archives of ophthalmology 60 (2): 280-9. PMID 13558799 .
External links
Pathology of the eye (primarily H00-H59 , 360-379 )
Eyelid , lacrimal system and orbit
eyelid : inflammation (Stye , Chalazion , Blepharitis ) - Entropion - Ectropion - Lagophthalmos - Blepharochalasis - Ptosis - Blepharophimosis - Xanthelasma - Trichiasis
lacrimal system : Dacryoadenitis - Epiphora - Dacryocystitis
orbit : Exophthalmos - Enophthalmos
Conjunctiva
Conjunctivitis - Pterygium - Pinguecula - Subconjunctival hemorrhage
Sclera and cornea
Scleritis - Keratitis - Corneal ulcer - Snow blindness - Thygeson's superficial punctate keratopathy - Fuchs' dystrophy - Keratoconus - Keratoconjunctivitis sicca - Arc eye - Keratoconjunctivitis - Corneal neovascularization - Kayser-Fleischer ring - Arcus senilis - Band keratopathy
Iris and ciliary body
Iritis - Uveitis - Iridocyclitis - Hyphema - Persistent pupillary membrane - Iridodialysis - Synechia
Lens
Cataract - Aphakia - Ectopia lentis
Choroid and retina
Retinitis - Chorioretinitis - Choroideremia - Retinal detachment - Retinoschisis - Retinopathy (Hypertensive retinopathy , Diabetic retinopathy , Retinopathy of prematurity ) - Macular degeneration - Retinitis pigmentosa - Retinal haemorrhage - Central serous retinopathy - Macular edema - Epiretinal membrane - Macular pucker
Optic nerve and visual pathways
Optic neuritis - Papilledema - Optic atrophy - Leber's hereditary optic neuropathy
Ocular muscles ,
binocular movement ,
accommodation and refraction
Paralytic strabismus : Ophthalmoparesis - Progressive external ophthalmoplegia - Palsy (III , IV , VI ) - Kearns-Sayre syndrome
Other strabismus : Esotropia /Exotropia - Hypertropia - Heterophoria (Esophoria , Exophoria ) - Brown's syndrome - Duane syndrome
Other binocular: Conjugate gaze palsy - Convergence insufficiency - Internuclear ophthalmoplegia - One and a half syndrome
Refractive error : Hyperopia /Myopia - Astigmatism - Anisometropia /Aniseikonia - Presbyopia
Visual disturbances and blindness
Amblyopia - Leber's congenital amaurosis - Subjective (Asthenopia , Hemeralopia , Photophobia , Scintillating scotoma ) - Diplopia - Scotoma - Anopsia (Binasal hemianopsia , Bitemporal hemianopsia , Homonymous hemianopsia , Quadrantanopia ) - Color blindness (Achromatopsia ) - Nyctalopia - Blindness /Low vision
Pupil
Anisocoria - Argyll Robertson pupil - Marcus Gunn pupil /Marcus Gunn phenomenon - Adie syndrome
Infectious diseases
Trachoma - Onchocerciasis
Other
Nystagmus - Miosis - Mydriasis - Glaucoma - Ocular hypertension - Floater - Leber's hereditary optic neuropathy - Red eye - Keratomycosis - Xerophthalmia - Aniridia
See also congenital
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