Editor,—Familial amyloidosis of the Finnish type (FAF), also known as Meretoja syndrome, is a rare autosomal dominant disorder first described by Meretoja in 1969.1 It is thought to develop as a result of a single point mutation involving the gelsolin gene located on chromosome 9. The estimated total number of patients in Finland is 400. Approximately 15 cases have been described outside Finland.2 We present the first case to be recognised in the UK demonstrating the classic signs of corneal lattice dystrophy, cranial neuropathy, and skin changes with an autosomal dominant pedigree.