Rétinite pigmentaire
Définition clinique
La rétinite pigmentaire est une dystrophie rétinienne héréditaire conduisant à une perte progressive des photorécepteurs et de l'épithélium pigmentaire rétinien, et résultant habituellement en une cécité après plusieurs décennies.
🩺 Symptômes & manifestations cliniques
31 phénotypes HPO annotés Orphanet
🔴 Très fréquent (99-80%) — 13
- Conductive hearing impairment
- Sensorineural hearing impairment
- Visual impairment
- Abnormal electroretinogram
- Retinal degeneration
- Photophobia
- Blindness
- Nystagmus
- Optic atrophy
- Progressive night blindness
- Abnormality of retinal pigmentation
- Bone spicule pigmentation of the retina
- Abnormal retinal vascular morphology
🟠 Fréquent (79-30%) — 15
- Glaucoma
- Optic disc pallor
- Keratoconus
- Ophthalmoplegia
- Nyctalopia
- Hyperinsulinemia
- Retinal atrophy
- Posterior subcapsular cataract
- Attenuation of retinal blood vessels
- Peripheral visual field loss
- Cystoid macular edema
- Optic disc drusen
- Abnormal full-field electroretinogram
- Abnormal central response of multifocal electroretinogram
- Photoreceptor outer segment loss on macular OCT
🟡 Occasionnel / autres (3) ↓
- Color vision defect(Occasionel (29-5%))
- Reduced visual acuity(Occasionel (29-5%))
- Photopsia(Occasionel (29-5%))
🔀 Diagnostic différentiel
Maladies rares qui partagent le plus de phénotypes discriminants avec Rétinite pigmentaire. Calcul automatique sur les annotations HPO/Orphanet — à confronter au tableau clinique réel.
- 53%
Syndrome d'Usher
ORPHA:886 · 5/8 phénotypes en commun
- 50%
Albinisme oculaire avec surdité sensorielle tardive
ORPHA:1000 · 4/8 phénotypes en commun
- 38%
Syndrome de Bardet-Biedl
ORPHA:110 · 4/8 phénotypes en commun
- 31%
Syndrome acro-réno-oculaire
ORPHA:959 · 4/8 phénotypes en commun
- 31%
Dystrophie rétinienne sévère de l'enfance
ORPHA:364055 · 4/8 phénotypes en commun
- 19%
Monochromatisme à cônes bleus
ORPHA:16 · 4/8 phénotypes en commun
📚 Publications récentes (2 dernières années)
1 référence PubMed — guidelines, revues, méta-analyses et case reports avec « Rétinite pigmentaire » dans le titre/abstract.
🔬 Examens & investigations
📋 PNDS — recommandations officielles françaises
Le Protocole National de Diagnostic et Soins est le référentiel HAS pour la prise en charge d'une maladie rare en France. Environ 300 maladies en disposent (plus rare que la maladie elle-même → plus de chances qu'il n'existe pas).
🏥 Centres experts
Liste Orphanet officielle des centres experts pour cette maladie spécifique (CRMR / CCMR) — coordonnées et coordinateurs.
📍 Trouver un spécialiste près de chez vous
Entrez votre ville ou code postal pour filtrer l'annuaire MonRhumato et localiser les centres experts les plus proches.
🧬 Gènes associés & variants
HKDC110q22.1ClinVar : 235 variants196 VUSDisease-causing germline mutation(s) inAssessed
CA417q23.1Candidate gene tested inNot yet assessed
FSD1L9q31.2Disease-causing germline mutation(s) inAssessed
SAXO612q15Disease-causing germline mutation(s) inAssessed
RNU6-115q23Disease-causing germline mutation(s) inAssessed
RNU6-219p13.3Disease-causing germline mutation(s) inAssessed
RNU6-814q12Disease-causing germline mutation(s) inAssessed
RNU6-919p13.3Disease-causing germline mutation(s) inAssessed
CFAP2016q21Disease-causing germline mutation(s) inAssessed
ABCA41p22.1Disease-causing germline mutation(s) inAssessed
POMGNT11p34.1Disease-causing germline mutation(s) inAssessed
PRCD17q25.1Disease-causing germline mutation(s) inAssessed
PRPF31q21.2Disease-causing germline mutation(s) inAssessed
PRPF3119q13.42Disease-causing germline mutation(s) inAssessed
PRPF817p13.3Disease-causing germline mutation(s) inAssessed
PRPH26p21.1Disease-causing germline mutation(s) inAssessed
RDH1214q24.1Disease-causing germline mutation(s) inAssessed
RGR10q23.1Disease-causing germline mutation(s) inAssessed
RHO3q22.1Disease-causing germline mutation(s) inAssessed
RLBP115q26.1Disease-causing germline mutation(s) inAssessed
ROM111q12.3Disease-causing germline mutation(s) inAssessed
RP18q11.23-q12.1Disease-causing germline mutation(s) inAssessed
RP2Xp11.3Disease-causing germline mutation(s) inAssessed
RP97p14.3Disease-causing germline mutation(s) inAssessed
RPE651p31.3Disease-causing germline mutation(s) inAssessed
RPGRXp11.4Disease-causing germline mutation(s) inAssessed
SAG2q37.1Disease-causing germline mutation(s) inAssessed
BBS111q13.2Disease-causing germline mutation(s) inAssessed
BBS216q13Disease-causing germline mutation(s) inAssessed
BEST111q12.3Disease-causing germline mutation(s) inAssessed
RNU4-212q24.31Disease-causing germline mutation(s) inAssessed
CERKL2q31.3Disease-causing germline mutation(s) inAssessed
AHI16q23.3Disease-causing germline mutation(s) inAssessed
TTC814q31.3Disease-causing germline mutation(s) inAssessed
TULP16p21.31Disease-causing germline mutation(s) inAssessed
USH2A1q41Disease-causing germline mutation(s) inAssessed
CLRN13q25.1Disease-causing germline mutation(s) inAssessed
CNGA14p12Disease-causing germline mutation(s) inAssessed
CRB11q31.3Disease-causing germline mutation(s) inAssessed
CRX19q13.33Disease-causing germline mutation(s) inAssessed
ARL63q11.2Disease-causing germline mutation(s) inAssessed
FSCN217q25.3Disease-causing germline mutation(s) inAssessed
HGSNAT8p11.21-p11.1Disease-causing germline mutation(s) inAssessed
IMPDH17q32.1Disease-causing germline mutation(s) inAssessed
MERTK2q13Disease-causing germline mutation(s) inAssessed
NR2E315q23Disease-causing germline mutation(s) inAssessed
NRL14q11.2-q12Disease-causing germline mutation(s) inAssessed
OFD1Xp22.2Disease-causing germline mutation(s) inAssessed
PDE6A5q32Disease-causing germline mutation(s) inAssessed
PDE6B4p16.3Disease-causing germline mutation(s) inAssessed
SEMA4A1q22Disease-causing germline mutation(s) inAssessed
CNGB116q21Disease-causing germline mutation(s) inAssessed
TOPORS9p21.1Disease-causing germline mutation(s) inAssessed
CC2D2A4p15.32Disease-causing germline mutation(s) inAssessed
PROM14p15.32Disease-causing germline mutation(s) inAssessed
LRAT4q32.1Disease-causing germline mutation(s) inAssessed
EYS6q12Disease-causing germline mutation(s) inAssessed
IDH3B20p13Disease-causing germline mutation(s) inAssessed
SPATA714q31.3Disease-causing germline mutation(s) inAssessed
GUCA1B6p21.1Disease-causing germline mutation(s) inAssessed
KLHL77p15.3Disease-causing germline mutation(s) inAssessed
TMEM21611q13.1Disease-causing germline mutation(s) (loss of function) inAssessed
SNRNP2002q11.2Disease-causing germline mutation(s) inAssessed
PCARE2p23.2Disease-causing germline mutation(s) inAssessed
PDE6G17q25.3Disease-causing germline mutation(s) inAssessed
IMPG23q12.3Disease-causing germline mutation(s) inAssessed
FAM161A2p15Disease-causing germline mutation(s) inAssessed
ZNF5132p23.3Disease-causing germline mutation(s) inAssessed
CDHR110q23.1Disease-causing germline mutation(s) inAssessed
RP1L18p23.1Disease-causing germline mutation(s) inAssessed
DHDDS1p36.11Disease-causing germline mutation(s) inAssessed
PRPF620q13.33Disease-causing germline mutation(s) inAssessed
IFT4314q24.3Disease-causing germline mutation(s) inAssessed
MAK6p24.2Disease-causing germline mutation(s) inAssessed
RBP310q11.22Disease-causing germline mutation(s) inAssessed
CFAP4188q22.1Disease-causing germline mutation(s) inAssessed
IFT14016p13.3Disease-causing germline mutation(s) inAssessed
KIAA15497q34Disease-causing germline mutation(s) inAssessed
ZNF40811p11.2Disease-causing germline mutation(s) (loss of function) inAssessed
ARL2BP16q13Disease-causing germline mutation(s) inAssessed
NEK21q32.3Disease-causing germline mutation(s) (loss of function) inAssessed
IFT1722p23.3Disease-causing germline mutation(s) inAssessed
IMPG16q14.1Disease-causing germline mutation(s) inAssessed
COQ8B19q13.2Disease-causing germline mutation(s) inAssessed
TUB11p15.4Disease-causing germline mutation(s) (loss of function) inAssessed
KIZ20p11.23Disease-causing germline mutation(s) (loss of function) inAssessed
SLC7A143q26.2Disease-causing germline mutation(s) inAssessed
PRPF49q32Disease-causing germline mutation(s) (loss of function) inAssessed
AGBL52p23.3Disease-causing germline mutation(s) inAssessed
DHX3816q22.2Disease-causing germline mutation(s) inAssessed
REEP619p13.3Disease-causing germline mutation(s) (loss of function) inAssessed
ARHGEF1819p13.2Disease-causing germline mutation(s) inAssessed
IFT8813q12.11Disease-causing germline mutation(s) inAssessed
SCAPER15q24.3Disease-causing germline mutation(s) inAssessed
ARL310q24.32Disease-causing germline mutation(s) inAssessed
AHR7p21.1Disease-causing germline mutation(s) inAssessed
IDH3A15q25.1Candidate gene tested inNot yet assessed
Codifications validées (112) ↓
- GARD:5694
- ICD-10:H35.5
- ICD-11:9B70
- MONDO:0019200
- MeSH:D012174
- MedDRA:10038914
- OMIM:153870
- OMIM:180100
- OMIM:180104
- OMIM:180105
- OMIM:180210
- OMIM:268000
- OMIM:268025
- OMIM:268060
- OMIM:300029
- OMIM:300155
- OMIM:300424
- OMIM:300605
- OMIM:312600
- OMIM:312612
- OMIM:400004
- OMIM:600059
- OMIM:600105
- OMIM:600132
- OMIM:600138
- OMIM:600852
- OMIM:601414
- OMIM:601718
- OMIM:602594
- OMIM:602772
- OMIM:604232
- OMIM:604393
- OMIM:606068
- OMIM:607921
- OMIM:608133
- OMIM:608380
- OMIM:609913
- OMIM:609923
- OMIM:610282
- OMIM:610359
- OMIM:610599
- OMIM:611131
- OMIM:612095
- OMIM:612165
- OMIM:612572
- OMIM:612712
- OMIM:612943
- OMIM:613194
- OMIM:613341
- OMIM:613428
- OMIM:613464
- OMIM:613575
- OMIM:613581
- OMIM:613582
- OMIM:613617
- OMIM:613660
- OMIM:613731
- OMIM:613750
- OMIM:613756
- OMIM:613758
- OMIM:613767
- OMIM:613769
- OMIM:613794
- OMIM:613801
- OMIM:613809
- OMIM:613810
- OMIM:613827
- OMIM:613861
- OMIM:613862
- OMIM:613983
- OMIM:614180
- OMIM:614181
- OMIM:614494
- OMIM:614500
- OMIM:615233
- OMIM:615434
- OMIM:615565
- OMIM:615725
- OMIM:615780
- OMIM:615922
- OMIM:616188
- OMIM:616394
- OMIM:616469
- OMIM:616544
- OMIM:616562
- OMIM:617023
- OMIM:617123
- OMIM:617304
- OMIM:617433
- OMIM:617460
- OMIM:617781
- OMIM:617871
- OMIM:618173
- OMIM:618195
- OMIM:618220
- OMIM:618345
- OMIM:618613
- OMIM:618697
- OMIM:618826
- OMIM:618955
- OMIM:619007
- OMIM:619614
- OMIM:619845
- OMIM:620102
- OMIM:620228
- OMIM:621560
- OMIM:621561
- OMIM:621562
- OMIM:621563
- OMIM:621564
- OMIM:621587
- UMLS:C0035334