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)