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Start free with EleplanRetinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations
ORPHA:247691Disease
Also called RVCL · RVCL-S · Retinal vasculopathy and cerebral leukoencephalopathy
What it is
A rare genetic cerebral small vessel disease characterized by progressive loss of visual acuity due to retinal vasculopathy, in combination with more variable neurological signs and symptoms including stroke, cognitive decline, migraine-like headaches, and seizures, among others, typically beginning in middle age. Psychiatric features such as depression and anxiety may also occur. Systemic vascular involvement with Raynaud phenomenon, micronodular liver cirrhosis, and glomerular kidney dysfunction is present in a subset of patients.
Key facts
- Age of onset
- Adult, Elderly
- Inheritance
- Autosomal dominant
- Classified as
- Disease
Signs and symptoms
Very common80–99%
3Common30–79%
16- Abnormality of the hepatic vasculature
- Atypical behavior
- Brain imaging abnormality
- Cognitive impairment
- Compensated hypothyroidism
- Elevated circulating alkaline phosphatase concentration
- Elevated circulating creatinine concentration
- Elevated gamma-glutamyltransferase level
- Glomerulosclerosis
- Hypertension
- Migraine
- Nephropathy
- Nodular regenerative hyperplasia of liver
- Normochromic anemia
- Normocytic anemia
- Proteinuria
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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