Systemic Associations
RP can be classified into isolated or syndromic forms.
The latter occurs in conjunction with systemic disease such as in the case of Usher syndrome (sensorineural deafness), Bardet-Biedl syndrome (truncal obesity, polydactyly, short stature, renal failure), Bassen-Kornzweig syndrome (steatorrhoea, ataxia, progressive external ophthalmoplegia) due to fat-soluble vitamin deficiency, Refsum syndrome (ataxia, ichthyosis, peripheral neuropathy, anosmia) due to accumulation of excessive phytanic acid, and mucopolysaccharidoses. Kearns-Sayre syndrome, a mitochondrial disorder, is sometimes associated with pigmentary retinopathy or atypical retinitis pigmentosa.
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