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  lüll Ophthalmic manifestations and histopathology of infantile nephropathic  cystinosis: report of a case and review of the literature Tsilou E; Zhou M; Gahl W; Sieving PC; Chan CCSurv Ophthalmol  2007[Jan]; 52 (1): 97-105Cystinosis is a rare autosomal recessive metabolic disorder characterized by the  intracellular accumulation of cystine, the disulfide of the amino acid cysteine,  in many organs and tissues. Infantile nephropathic cystinosis is the most severe  phenotype. Corneal crystal accumulation and pigmentary retinopathy were  originally the most commonly described ophthalmic manifestations, but successful  kidney transplantation significantly changed the natural history of the disease.  As cystinosis patients now live longer, long-term complications in extrarenal  tissues, including the eye, have become apparent. A case of an adult patient with  infantile nephropathic cystinosis is reported. He presented with many long-term  ocular complications of cystinosis. After 4 years of follow-up, the patient died  from sepsis. Pathology of the phthisical eyes demonstrated numerous  electron-transparent polygonal spaces, bounded by single membrane, in corneal  cells, retinal pigment epithelial cells, and even choroidal endothelial cells.  The ophthalmic manifestations and pathology of infantile nephropathic cystinosis  are discussed and reviewed in light of the current report and other cases in the  literature.|Adult[MESH]|Choroid Diseases/metabolism/*pathology[MESH]|Corneal Diseases/metabolism/*pathology[MESH]|Cysteine/metabolism[MESH]|Cystinosis/metabolism/*pathology[MESH]|Fatal Outcome[MESH]|Humans[MESH]|Kidney Diseases/metabolism/*pathology[MESH]|Male[MESH]|Retinal Diseases/metabolism/*pathology[MESH] |