Clinical and pathophysiological differences between dyskeratosis congenita and acquired aplastic anemia with short telomeres of leukocytes
. | Dyskeratosis congenita . | Short-telomere acquired aplastic anemia . |
---|---|---|
Mucocutaneous triad (leukoplakia, hyperpigmentation, nail dystrophy), % | ∼90 | No |
Pulmonary fibrosis, % | 20 | Observed in relatives |
Liver cirrhosis, % | 7 | Observed in relatives |
Malignancy, % | 10 | Observed in relatives (MDS, AML) |
Short stature, % | 20 | No |
Genes involved | DKC1 | — |
TERC | TERC | |
TERT | TERT | |
NOP10 | — | |
TINF2 | — | |
— | TERF1 | |
— | TERF2 | |
— | SBDS |
. | Dyskeratosis congenita . | Short-telomere acquired aplastic anemia . |
---|---|---|
Mucocutaneous triad (leukoplakia, hyperpigmentation, nail dystrophy), % | ∼90 | No |
Pulmonary fibrosis, % | 20 | Observed in relatives |
Liver cirrhosis, % | 7 | Observed in relatives |
Malignancy, % | 10 | Observed in relatives (MDS, AML) |
Short stature, % | 20 | No |
Genes involved | DKC1 | — |
TERC | TERC | |
TERT | TERT | |
NOP10 | — | |
TINF2 | — | |
— | TERF1 | |
— | TERF2 | |
— | SBDS |
MDS indicates myelodysplastic syndrome; AML, acute myelogenous leukemia; and —, not mutated.