Retinal changes and tumorigenesis in Ramon syndrome: Follow-up of a Brazilian family

We report on the clinical evolution of the Brazilian family with Ramon syndrome described by de Pina‐Neto et al. [1986, Am J Med Genet 25:441–443]. Three members (patients IV‐2, IV‐18, and IV‐19) have developed pigmentary changes in the retina and paleness of the optic disk. Patient IV‐18 also has developed giant hypertrophy of the labia minora that, when examined histopathologically, was found to be due to neoplastic fibroblast and epithelial proliferation caused by a fibromatous process similar to that reported in the gingivae of the patients with this syndrome. Audiologic function of patient IV‐2 was normal, and no skin lesions were detected. The articular signs and symptoms show that the affected relatives developed rheumatoid arthritis, which is currently inactive in patient IV‐18, whereas patient IV‐2 did not develop these alterations. Am. J. Med. Genet. 77:43–46, 1998. © 1998 Wiley‐Liss, Inc.