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Retinal Degeneration Associated With Congenital Transcobalamin II Deficiency
Arch Ophthalmol. 2001;119:1076-1077.
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Transcobalamin II (TCII) is a cobalamin (Cbl)-binding plasma protein
that promotes the cellular uptake of Cbl (vitamin B12) by many
tissues. Transcobalamin II deficiency is a rare autosomal recessive disorder.1
Report of a Case
A girl, born to healthy nonconsanguineous parents, was seen at age 3
months with pallor, lethargy, failure to thrive, and hypotonia. At age 7 months,
she was seen by a physician because of pallor, purpura, hypotonia, myoclonia,
epileptiform episodes of blinking, and chronic upper respiratory infections.
Her blood cell count revealed severe pancytopenia. Serum Cbl levels were in
the low to normal range. Methylmalonyl aciduria and homocystinuria were detected.
The total unsaturated Cbl binding capacity of serum, measured as previously
described,2 was 48 pmol/L (reference range,
440-880 pmol/L), without binding of [57Co]Cbl to TCII. Immunoreactive
TCII serum levels were 95 pmol/L (reference, >370 pmol/L). Culture findings
from the patient's fibroblasts incubated with 35S-methionine expressed
immunoreactive radio-labeled TCII with . . . [Full Text of this Article] Comment
Corresponding author and reprints: Gisèle Soubrane, PhD, CliniqueOphtalmologique,
Universitaire de Créteil, 40 avenue de Verdun, 94010 Créteil,
France (e-mail: gisele.soubrane@chicreteil.fr).
RELATED LETTER
Retinopathy in Inherited Transcobalamin II Deficiency
Aruna Dharmasena, Antonio Calcagni, and Andrea R. Kerr
Arch Ophthalmol. 2008;126(1):141-142.
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Retinopathy in Inherited Transcobalamin II Deficiency
Dharmasena et al.
Arch Ophthalmol 2008;126:141-142.
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