Genetic & Dysmorphic Book
ELBABA M.A.
BLOOM SYNDROME; BLM
OMIM 2008
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BLOOM SYNDROME; BLM
Clinical Synopsis
INHERITANCE :
Autosomal recessive
GROWTH :
Height
Average adult male height 151cm
Average adult female height 144cm
Other
Prenatal onset growth retardation
Growth failure
HEAD AND NECK :
Head
Dolichocephaly
Microcephaly
Face
Narrow
Malar hypoplasia
Ears
Prominent ears
Nose
Prominent nose
Teeth
Absent upper lateral incisors
RESPIRATORY :
Airways
Bronchiectasis
Lung
Chronic lung disease
GENITOURINARY :
Internal genitalia, male
Azoospermia
Cryptorchidism
Internal genitalia, female
Reduced fertility in females
SKELETAL :
Hands
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Welcome to feedback and comment on email: mostafaelbaba@hotmail.com
Last update: 9 October 2008
Genetic & Dysmorphic Book
ELBABA M.A.
BLOOM SYNDROME; BLM
OMIM 2008
______________________________________________________________________________________________
Syndactyly
Polydactyly
Fifth finger clinodactyly
SKIN, NAILS, HAIR :
Facial telangiectasia in butterfly midface distribution (exacerbated by sun)
Spotty hypopigmentation
Spotty hyperpigmentation
Cafe-au-lait spots
Hypertrichosis
Photosensitivity
NEUROLOGIC :
Central nervous system
Mild mental retardation in some
Learning disability
VOICE :
High-pitched
ENDOCRINE FEATURES :
Noninsulin-dependent diabetes mellitus
IMMUNOLOGY :
Immunoglobulin deficiency (IgA, IgG, IgM)
Impaired lymphocyte proliferation response to malignancy
NEOPLASIA :
Leukemia
Lymphoma
Adenocarcinoma
Squamous cell carcinoma
Hypersensitivity to chemotherapy
LABORATORY ABNORMALITIES :
High sister chromatid exchange (SCE) rate
SCE normal in heterozygotes
Increased chromosomal breakage
Decreased IgA, IgG, IgM
MISCELLANEOUS :
Life-threatening infections
Predisposition to neoplasia
MOLECULAR BASIS
Caused by mutations in the RecQ proteinlike 3 gene (RECQL3, 604610.0001)
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Welcome to feedback and comment on email: mostafaelbaba@hotmail.com
Last update: 9 October 2008