Oculocutaneous albinism and autism: A case report and review of literature

Otistik bozukluk; iletişimde ve sosyal etkileşimde bozulmalara neden olan, ayrıca, tekrarlayıcı davranışlarla giden genetik yönü güçlü olan bir bozukluktur. Çok sayıda kalıtsal tıbbi ve psikolojik bozuklukla çocukluk çağı otizmi arasında ilişki olduğu bildirilmiş, bu bozuklukların çoğu, otizmin etiyolojisinde genetiğin rolü konusunda ışık tutmuştur. Literatürde, otizm ve okülokütanöz albinizm birlikteliği nadir olarak bildirilmiştir. Bu yazıda, otizm ve okülokütanöz albinizmi olan 2 yaş 6 aylık bir olgu sunulmuştur. Bu ilişki ve etkilenen kişilerin aile bireyleri ile ilgili daha önce yayınlanmış az sayıda bildiri mevcuttur. Tüm bu bildirimler ve sunulan olgu, çocukluk çağı otizmi ve okülokütanöz albinizm arasında genetik bir ilişkinin olup olmadığı düşüncesini akla getirmektedir.

Okülokütenöz albinizm ve otizm: Olgu sunumu ve literatür derlemesi

Autistic disorder is a highly heritable disorder characterized by impaired communication, social interaction, and repetitive behaviors. Several inherited medical and psychological disorders have been reported in association with childhood autism and many of these disorders shed light on the role of genetics in the etiology of childhood autism. Association of autism and oculocutaneous albinism is rarely reported in the literature. Herein, we report the joint occurrence of autistic disorder (AD) and oculocutaneous albinism (OCA) in a two-year and six-month old boy. This association was documented in a few previous reports about the affected individuals and families of individuals with childhood autism. All these reports and this case connote whether childhood autism has any genetic and clinical relationship with oculocutaneous albinism.

___

1. Levy SE, Mandell DS, Schultz RT. Autism. Lancet 2009; 374:1627-1638.

2. Muhle R, Trentacoste SV, Rapin I. The genetics of autism. Pediatrics 2004; 113:472-486.

3. Steyaert J, de La Marche W. What’s new in autism? Eur J Pediatr 2008; 167:1091-1101.

4. Gillberg C, Coleman M. Autism and medical disorders. A review of the literature. Dev Med Child Neurol 1996; 38:191-202.

5. Artigas-Pallares J, Gabau-Vila E, Guitart-Feliubadalo M. Syndromic autism: II. Genetic syndromes associated with autism. Rev Neurol 2005; 40 (Suppl.1):155-162.

6. Zafeirion DI, Ververi A, Vargiami E. Childhood autism and associated co-morbidities. Brain Dev 2007; 29:257-172.

7. Kielinen M, Rantala H, Timonen E, Linna SL, Moilanen I. Associated medical disorders and disabilities in children with autistic disorder: a population – based study. Autism 2004; 8:49- 60.

8. Sebat J, Lakshmi B, Malhotra D, Troge J, Lese-Martin C, Walsh T, Yamrom B, Yoon S, Krasnitz A, Kendall J, Leotta A, Pai D,Zhang R, Lee YH, Hicks J, Spence SJ, Lee AT, Puura K, Lehtimäki T, Ledbetter D, Gregersen PK, Bregman J, Sutcliffe JS, Jobanputra V, Chung W, Warburton D, King MC, Skuse D, Geschwind DH, Gilliam TC, Ye K, Wigler M. Strong association of de novo copy number mutations with autism. Science 2007; 316:445-449.

9. Vorstman JA, Staal WG, Van Daalen E, van Engeland H, Hochstenbach PF, Franke L. Identification of novel autism candidate regions through analysis of reported cytogenetic abnormalities associated with autism. Mol Psychiatry 2006; 11:18-28.

10. Marshall CR, Noor A, Vincent JB, Lionel AC, Feuk L, Skaug J, Shago M, Moessner R, Pinto D, Ren Y, Thiruvahindrapduram B, Fiebig A, Schreiber S, Friedman J, Ketelaars CE, Vos YJ, Ficicioglu C, Kirkpatrick S, Nicolson R, Sloman L, Summers A, Gibbons CA, Teebi A, Chitayat D, Weksberg R, Thompson A, Vardy C, Crosbie V, Luscombe S, Baatjes R, Zwaigenbaum L, Roberts W, Fernandez B, Szatmari P, Scherer SW. Structural variation of chromosomes in autism spectrum disorder. Am J Hum Genet 2008; 82:477-488.

11. Bakare MO, Ikegwuonu NN. Childhood autism in a 13 year old boy with oculocutaneous albinism: a case report. J Med Case Reports 2008; 2:56.

12. Grønskov K, Ek J, Brondum-Nielsen K. Oculocutaneous albinism. Orphanet J Rare Dis 2007; 2:43.

13. Rogawski MA, Funderburk SJ, Cederbaum SD. Oculocutaneous albinism and mental disorder. A report of two autistic boys. Hum Hered 1978; 28:81-85.

14. Delong R. GABA (A) receptor alpha 5 subunit as a candidate gene for autism and bipolar disorder: a proposed endophenotype with parent -of-origin and gain-of-function features, with or without oculocutaneous albinism. Autism 2007; 11:135-147.

15. Delany EA, Hopkins TF. The Stanford-Binet Intelligence Scale: Fourth Edition, Examiner’s Handbook. Chicago, IL: The Riverside Publishing Co., 1986.

16. World Health Organization. International Classification of Diseases. Tenth Ed., (ICD-10), 1992.

17. Bailey A, Le Couteur A, Gottesman I, Bolton P, Simonoff E, Yuzda E, Rutter M. Autism as a strongly genetic disorder: evidence from a British twin study. Psychol Med 1995; 25:63-77.

18. Folstein S, Rutter M. Infantile autism: a genetic study of 21 twin pairs. J Child Psychol Psychiatry 1977; 18:297-321.

19. Steffenburg S, Gillberg C, Hellgren L, Andersson L, Gillberg IC, Jakobsson G, Bohman M. A twin study of autism in Denmark, Finland, Iceland, Norway and Sweden. J Child Psychol Psychiatry 1989; 30:405-416.

20. Smalley SL. Autism and tuberous sclerosis. J Autism Dev Disord 1998; 28:407-414.

21. Gutierrez GC, Smalley SL, Tanguay PE. Autism in tuberous sclerosis complex. J Autism Dev Disord 1998; 28:97-103.

22. Ito MA. Singular case of naevus depigmentosus systematicus bilateralis. Jpn J Dermatol B 1951; 61:31-32.

23. Parr JR, Dale NJ, Shaffer LM, Salt AT. Social communication difficulties and autism spectrum disorder in young children with optic nerve hypoplasia and/or septo-optic dysplasia. Dev Med Child Neurol 2010; 52:917-921.

24. Delong GR, Ritch CR, Burch S. Fluoxetine response in children with autistic spectrum disorders: correlation with familial major affective disorder and intellectual achievement. Dev Med Child Neurol 2002; 44:652-659.