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Variable presentation of Rothmund-Thomson syndrome

✍ Scribed by Pujol, Lisa A. ;Erickson, Robert P. ;Heidenreich, Randall A. ;Cunniff, Christopher


Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
154 KB
Volume
95
Category
Article
ISSN
0148-7299

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✦ Synopsis


The recent finding that a subset of patients with Rothmund-Thomson syndrome (RTS) have mutations of a helicase gene has prompted reexamination of the phenotypes of individuals diagnosed with this disorder. We report on two patients with variable presentations of RTS. Initial presenting symptoms included growth deficiency and absent thumbs in one patient and osteogenic sarcoma and poikiloderma in the second patient. The growth-deficient patient was diagnosed with growth hormone deficiency and had a subnormal response to growth hormone supplementation. Neither malformations nor growth deficiency were present in the patient with osteogenic sarcoma, and her only other manifestation of RTS was poikiloderma. The diagnosis of RTS should be considered in all patients with osteogenic sarcoma, particularly if associated with skin changes.


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