Dyskeratosis Congenita (Zinsser-Engman-Cole Syndrome)- Two forms: XLR and AD
- XLR, DKC1 gene mutation, encodes protein dyskerin (interacts with telomerase, ↑ sister chromatid exchanges
- AD, hTR (human telomerase RNA component) and hTERT (human telomerase reverse transcriptase) mutations
- Cutaneous poikiloderma (face, trunk, thighs), nail dystrophy (atrophy, pterygium), premalignant leukoplakia (buccal mucosa most common), frictional bullae, palmoplantar hyperhidrosis
- Bone marrow failure with anemia, thrombocytopenia, or pancytopenia → major cause of mortality
- ↑ CA: mucosal SCC, Hodgkin’s lymphoma, AML
| | | | DYSkeRaTOS is – DYS trophy (nails), mR, Thrombocytopenia, Oral premalignant leukoplakia, Sun avoidance (poikiloderma) | | | | |
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