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 2.20A) 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
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