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Rare disease
Gyrate atrophy of the choroid and retina with hyperornithinemia, cystinuria and lysinuria responsive to vitamin B6
  1. Fatos Tanzer1,
  2. Mehtap Firat1,
  3. Meral Alagoz1,
  4. Haydar Erdogan2
  1. 1Department of Pediatric Metabolism, Cumhuriyet University Medical Faculty, Sivas, Turkey
  2. 2Department of Ophthalmology, Cumhuriyet University Medical Faculty, Sivas, Turkey
  1. Correspondence to Professor Fatos Tanzer, fatostanzer{at}gmail.com

Summary

In this report, an 8-year-old girl is presented with the complaint of progressive night blindness. The authors have performed eye funduscopy, which showed chorioretinal atrophy in gyrate shape. A high level of plasma ornithine was determined. Urinary excretion of ornithine as well as lysine and cystine were increased. Patient was treated with high dose pyridoxine supplement (500 mg/dl). The night blindness condition of the patient improved. After 1 month of pyridoxine therapy ornithine level of her plasma was successfully reduced and blindness improved.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.