Refsum disease

A metabolic disease characterized by anosmia, cataract, early-onset retinitis pigmentosa and possible neurological manifestations, including peripheral neuropathy and cerebellar ataxia. Other features can be deafness, ichthyosis, skeletal abnormalities, and cardiac arrhythmia. It is characterized biochemically by accumulation of phytanic acid in plasma and tissues.



Input patient's signs and symptoms


Narrow down the case reports



Total: 23 (papers)

  


(per page)
Matched Phenotype  Gene  Mutation  MeSH
Rank
(Similarity)
PMID
(PMCID)
1
(35.3%)
11965181
[Refsum's disease: evolution 35 years after diagnosis].
Marcaud V, Defontaines B, Jung P, Degos CF.
Rev Neurol (Paris). 2002;158(2):225-9.
Facial paralysis
CSF2
Adult Ataxia Cataract Diet Disease Progression Electromyography Females Follow-Up Studies Homo sapiens Mixed Function Oxygenases Paresthesia Phytanic Acid Refsum Disease Retinitis Pigmentosa
2
(26.3%)
6164893
[Refsum syndrome, heredopathia atactica polyneuritiformis in the view of the otolaryngologist (author's transl)].
Feldmann H.
Laryngol Rhinol Otol (Stuttg). 1981;60(5):235-40.
Anosmia
Adult Cataract Cerebrospinal Fluid Proteins Females Hearing Loss, Bilateral Homo sapiens Olfaction Disorders Phytanic Acid Plasma Exchange Refsum Disease Tinnitus Vertigo
2
(26.3%)
71982
[Refsum's syndrome (author's transl)].
Thumler R, Atzpodien W, Kremer GJ, Haferkamp G.
Dtsch Med Wochenschr. 1977;102(41):1454-7.
Anosmia
CSF2
Eye Manifestations Homo sapiens Male Middle Aged Neurologic Manifestations Nyctalopia Phytanic Acid Refsum Disease Skin Manifestations
4
(23.3%)
10214507
A syndrome of congenital ichthyosis, hypogonadism, small stature, facial dysmorphism, scoliosis and myogenic dystrophy.
Stoll C, Eyer D.
Ann Genet. 1999;42(1):45-50.
Hypogonadism Scoliosis
Body Height Face Fluorescent in Situ Hybridization Growth Disorders Homo sapiens Hypogonadism Ichthyoses Male Retinitis Pigmentosa Syndrome
5
(21.2%)
10424146
[A case of motor and sensory polyneuropathy with retinitis pigmentosa and diffuse idiopathic skeletal hyperostosis].
Osoegawa M, Araki E, Arakawa K, Okayama A, Yamada T, Ohnishi A, Kira J.
Rinsho Shinkeigaku. 1999;39(5):542-5.
Visual impairment Hyperostosis
Complications of Diabetes Mellitus Hereditary Motor and Sensory Neuropathies Homo sapiens Hyperostosis, Diffuse Idiopathic Skeletal Male Metabolic Diseases Middle Aged Retinitis Pigmentosa
5
(21.2%)
9735628
Refsum's disease. A unique case.
Jaffe DF, Crezee KS, Mason S, Leavens-Chiarelli T, Lawrence W.
J Am Podiatr Med Assoc. 1998;88(8):406-9.
Blindness Hyperostosis
Fatal Outcome Foot Homo sapiens Male Refsum Disease
7
(4.0%)
25372210
Infantile Refsum disease in a young adult: case presentation and brief review.
Pakzad-Vaezi KL, Maberley DA.
Retin Cases Brief Rep. 2014;8(1):56-9.
Cataract
Adult Differential Diagnosis Females Homo sapiens Phytanic Acid Refsum Disease Retrospective Studies Vision Disorders
7
(4.0%)
22156782
A child with night blindness: preventing serious symptoms of Refsum disease.
Kohlschutter A, Santer R, Lukacs Z, Altenburg C, Kemper MJ, Ruther K.
J Child Neurol. 2012;27(5):654-6.
Retinopathy
Females Homo sapiens Longitudinal Studies Low-Density Lipoproteins Mixed Function Oxygenases Mutation Nyctalopia Phytanic Acid Refsum Disease
7
(4.0%)
18612766
Non-manifesting Refsum heterozygotes carrying the c.135-2A>G PAHX gene transition.
Finsterer J, Regelsberger G, Voigtlander T.
Neurol Sci. 2008;29(3):173-5.
Hyperhidrosis
PHYH SON
c|SUB|A|135-2|G;RS#:201578674
Adult Amino Acid Substitution Base Sequence Biological Markers Blindness Chromosomes, Human, Pair 10 DNA Mutational Analysis Females Genetic Markers Genetic Predisposition to Disease Genotype Heterozygote Homo sapiens Male Middle Aged Mixed Function Oxygenases Mutation Phytanic Acid Refsum Disease Restless Legs Syndrome
7
(4.0%)
18336720
(2275283)
Midlife diagnosis of Refsum disease in siblings with retinitis pigmentosa -- the footprint is the clue: a case report.
Jayaram H, Downes SM.
J Med Case Rep. 2008;2:80.
Visual impairment
        

Phenotype(s) retrieved from Orphanet

    Total: 38

HPO ID Term Frequency
HP:0000407 Sensorineural hearing impairment Very frequent (99-80%)
HP:0000458 Anosmia Very frequent (99-80%)
HP:0000478 Abnormality of the eye Very frequent (99-80%)
HP:0000488 Retinopathy Very frequent (99-80%)
HP:0000504 Abnormality of vision Very frequent (99-80%)
HP:0000518 Cataract Very frequent (99-80%)
HP:0000958 Dry skin Very frequent (99-80%)
HP:0001251 Ataxia Very frequent (99-80%)
HP:0001638 Cardiomyopathy Very frequent (99-80%)
HP:0001760 Abnormality of the foot Very frequent (99-80%)
HP:0001939 Abnormality of metabolism/homeostasis Very frequent (99-80%)
HP:0002164 Nail dysplasia Very frequent (99-80%)
HP:0002652 Skeletal dysplasia Very frequent (99-80%)
HP:0004374 Hemiplegia/hemiparesis Very frequent (99-80%)
HP:0007256 Abnormal pyramidal sign Very frequent (99-80%)
HP:0007703 Abnormality of retinal pigmentation Very frequent (99-80%)
HP:0008064 Ichthyosis Very frequent (99-80%)
HP:0009830 Peripheral neuropathy Very frequent (99-80%)
HP:0000496 Abnormality of eye movement Frequent (79-30%)
HP:0000505 Visual impairment Frequent (79-30%)
HP:0000508 Ptosis Frequent (79-30%)
HP:0000616 Miosis Frequent (79-30%)
HP:0000662 Nyctalopia Frequent (79-30%)
HP:0001252 Muscular hypotonia Frequent (79-30%)
HP:0001744 Splenomegaly Frequent (79-30%)
HP:0001765 Hammertoe Frequent (79-30%)
HP:0002376 Developmental regression Frequent (79-30%)
HP:0003202 Skeletal muscle atrophy Frequent (79-30%)
HP:0005930 Abnormality of epiphysis morphology Frequent (79-30%)
HP:0010049 Short metacarpal Frequent (79-30%)
HP:0010864 Intellectual disability, severe Frequent (79-30%)
HP:0000083 Renal insufficiency Occasional (29-5%)
HP:0000529 Progressive visual loss Occasional (29-5%)
HP:0000568 Microphthalmia Occasional (29-5%)
HP:0000639 Nystagmus Occasional (29-5%)
HP:0001761 Pes cavus Occasional (29-5%)
HP:0002093 Respiratory insufficiency Occasional (29-5%)
HP:0012722 Heart block Occasional (29-5%)


Phenotype(s) retrieved from case reports

    Total: 13

HPO ID Term # of case reports
HP:0000618 Blindness 2
HP:0001251 Ataxia 2
HP:0000458 Anosmia 1
HP:0000546 Retinal degeneration 1
HP:0000580 Pigmentary retinopathy 1
HP:0001271 Polyneuropathy 1
HP:0003077 Hyperlipidemia 1
HP:0005575 Hemolytic-uremic syndrome 1
HP:0012072 Aciduria 1
HP:0025356 Psychomotor retardation 1
HP:0031047 Paraproteinemia 1
HP:0032118 Retinitis 1
HP:0032368 Acidemia 1


Causative gene(s) retrieved from Orphanet

    Total: 2

Gene Symbol Gene Name Entrez Gene ID
PHYH phytanoyl-CoA 2-hydroxylase 5264
PEX7 peroxisomal biogenesis factor 7 5191