Bloom Syndrome

  • AR, BLM gene mutation, RecQ protein-like two (RecQL2, some sources say RecQL3 {Spitz}), DNA helicase family, mutation results in ↑ spontaneous sister chromatid exchanges, breakage, and rearrangements
  • Presents with photodistributed erythema/telangiectasias over cheeks within first few weeks of life, short stature, normal intelligence, immune deficiency causing chronic respiratory/GI infections, ↓ fertility, ↓ IgM/ IgA, high-pitched voice
  • ↑ Risk cancer: leukemia, lymphoma, GI adenocarcinoma
   
 
BLooM2 O’s (RecQL2)
Butterfly rash, Leukemia, iMmune deficiency, ↓ IgM