Table 2

Clinical and pathophysiological differences between dyskeratosis congenita and acquired aplastic anemia with short telomeres of leukocytes

Dyskeratosis congenitaShort-telomere acquired aplastic anemia
Mucocutaneous triad (leukoplakia, hyperpigmentation, nail dystrophy), % ∼90 No 
Pulmonary fibrosis, % 20 Observed in relatives 
Liver cirrhosis, % 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 congenitaShort-telomere acquired aplastic anemia
Mucocutaneous triad (leukoplakia, hyperpigmentation, nail dystrophy), % ∼90 No 
Pulmonary fibrosis, % 20 Observed in relatives 
Liver cirrhosis, % 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.

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