The two most common autosomal dominant dystrophies of the corneal stro
ma are lattice corneal dystrophy type I and granular dystrophy. A thir
d autosomal dominant stromal dystrophy (Avellino) has also been recogn
ized. Chromosome linkage analysis of four families with Avellino dystr
ophy mapped the disease-causing gene to chromosome 5q. Subsequent link
age analysis of two families with typical lattice dystrophy and two wi
th typical granular dystrophy also revealed significant linkage with t
he same markers. Thus, each of three clinically and histopathologicall
y distinct phenotypes is independently linked to 5q. The maximum combi
ned lod score using all 114 affected patients was 28.6 with marker D5S
393. None of the 14 known human amyloid-associated genes map to chromo
some 5.