Ataxia-Telangiectasia Syndrome

Figure 2.20 A: Ataxia-Telangiectasia (Reprint from Morgan MB, Smoller BR, Somach SC. Deadly Dermatologic Diseases. New York, NY: Springer; 2007) B: Basal cell nevus syndrome* C: Palmar pits (BCNS)* *Courtesy of Dr. Paul Getz
Figure 2.20
A: Ataxia-Telangiectasia
(Reprint from Morgan MB,
Smoller BR, Somach SC.
Deadly Dermatologic Diseases.
New York, NY: Springer; 2007
)
B: Basal cell nevus syndrome*
C: Palmar pits (BCNS)*
*Courtesy of Dr. Paul Getz
(Figure 2.20A) Ataxia-Telangiectasia Syndrome (Figure 2.20A)
  • AR, ATM gene mutation, inability to repair chromosomal strand breaks, sensitivity to ionizing radiation
  • Presents first with ataxia (2–3 years old) → telangiectasias on bulbar conjunctivae (spreads to cheeks/ears), premature aging (atrophic/sclerotic face), ↓ Purkinje fibers in cerebellum
  • Defects in cellular and humoral immunity (↓ IgA, IgG, IgE), severe and frequent sinopulmonary infections, ↑ lymphoreticular malignancy, ↑ breast CA