Preferred Label : Dyskeratosis congenita, X-linked;
Symbol : DKCX;
CISMeF acronym : HHS; DKCX;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Zinsser-cole-engman syndrome;
Included titles and symbols : Hoyeraal-hreidarsson syndrome; Cerebellar hypoplasia with pancytopenia; Growth retardation, prenatal, with progressive pancytopenia and cerebellar hypoplasia; HHS;
Description : Dyskeratosis congenita is classically defined by the triad of abnormal skin pigmentation,
nail dystrophy, and leukoplakia of the oral mucosa. It is characterized by short telomeres.
Progressive bone marrow failure occurs in over 80% of cases and is the main cause
of early mortality. The phenotype is highly variable, and affected individuals may
have multiple additional features, including pulmonary fibrosis, liver cirrhosis,
premature hair loss and/or graying, osteoporosis, atresia of the lacrimal ducts, and
learning difficulties. Males may have testicular atrophy. Predisposition to malignancy
is an important feature. The disorder is caused by defects in the maintenance of telomeres
(summary by Kirwan and Dokal, 2008). 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, and bone marrow failure resulting in immunodeficiency,
cerebellar hypoplasia, and sometimes enteropathy. Death often occurs in childhood
(summary by Walne et al., 2013). For a discussion of genetic heterogeneity of dyskeratosis
congenita, see;
Inheritance : X-linked recessive;
Molecular basis : Caused by mutation in the dyskerin gene (DKC1, 300126.0001);
Neoplasia : Squamous cell carcinoma (skin or mucosa); Acute myeloid leukemia; Hodgkin disease; Pancreatic carcinoma;
Laboratory abnormalities : Increased chromosomal rearrangements (bone marrow and fibroblast culture);
Prefixed ID : #305000;
Origin ID : 305000;
UMLS CUI : C1148551;
Automatic exact mappings (from CISMeF team)
Broader ORDO disease(s)
CISMeF manual mappings
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)
Validated automatic mappings to BTNT
Validated automatic mappings to NTBT