Bietti crystalline corneoretinal dystrophy (BCD) is an autosomal recessive
retinal degeneration characterized by multiple glistening intraretinal dots
scattered over the fundus, degeneration of the retina, and sclerosis of th
e choroidal vessels, ultimately resulting in progressive night blindness an
d constriction of the visual field. Although BCD has been associated with a
bnormalities in fatty-acid metabolism and absence of fatty-acid binding by
two cytosolic proteins, the genetic basis of BCD is unknown. We report link
age of the BCD locus to D4S426 (maximum LOD score [Z(max)] 4.81; recombinat
ion fraction [theta] 0), D4S2688 (Z(max) = 3.97; theta = 0), and D4S2299 (Z
(max) = 5.31; theta = 0), on chromosome 4q35-4qtel. Multipoint analysis con
firmed linkage to the region telomeric of D4S1652 with a Z(max) of 5.3 loca
ted 4 cM telomeric of marker D4S2930.