" /> Dyskeratosis congenita, autosomal dominant 1 - CISMeF





Preferred Label : Dyskeratosis congenita, autosomal dominant 1;

Symbol : DKCA1;

CISMeF acronym : DKCA1;

Type : Phenotype, molecular basis known;

Alternative titles and symbols : Dyskeratosis congenita, scoggins type;

Description : Dyskeratosis congenita is a rare multisystem disorder caused by defective telomere maintenance. Clinical features are highly variable and include bone marrow failure, predisposition to malignancy, and pulmonary and hepatic fibrosis. The classic clinical triad of abnormal skin pigmentation, leukoplakia, and nail dystrophy is not always observed. Other features include premature graying of the hair, osteoporosis, epiphora, dental abnormalities and testicular atrophy, among others (review by Bessler et al., 2007 and Bessler et al., 2010). Hoyeraal-Hreidarsson syndrome (HHS) refers to a clinically severe variant of DKC that is characterized by multisystem involvement and early onset in utero. Patients with HHS show intrauterine growth retardation, microcephaly, delayed development, bone marrow failure resulting in immunodeficiency, cerebellar hypoplasia, and sometimes enteropathy. Death often occurs in childhood (summary by Walne et al., 2013). - Genetic Heterogeneity of Dyskeratosis Congenita and Hoyeraal-Hreidarsson Syndrome Dyskeratosis congenita is a genetically heterogeneous disorder, showing autosomal recessive, autosomal dominant, and X-linked inheritance. Additional autosomal dominant forms include DKCA2 (613989), caused by mutation in the TERT gene (187270) on chromosome 5p1; DKCA3 (613990), caused by mutation in the TINF2 gene (604319) on chromosome 14q12; and;

Inheritance : Autosomal dominant;

Molecular basis : Caused by mutation in the telomerase RNA component gene (TERC, 602322.0001);

Neoplasia : Squamous cell carcinoma of the skin;

Laboratory abnormalities : Shortened telomeres;

Prefixed ID : #127550;

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08/06/2024


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