Rothmund–Thomson Syndrome (Poikiloderma Congenitale)

  • Figure 2.19 A: Xeroderma pigmentosum (Courtesy of Dr. Michelle B. Bain) B: Xeroderma pigmentosum (Courtesy of Dr. Michelle B. Bain) C: Rothmund-Thomson (Reprint from Burgdorf WH, Plewig G, Wolff HH, Landthaler M, eds. Braun-Falco’s Dermatology. 3rd ed. Heidelberg: Springer; 2009)
    Figure 2.19
    A: Xeroderma pigmentosum
    (Courtesy of Dr. Michelle
    B. Bain
    )
    B: Xeroderma pigmentosum
    (Courtesy of Dr. Michelle
    B. Bain
    )
    C: Rothmund-Thomson
    (Reprint from Burgdorf WH,
    Plewig G, Wolff HH,
    Landthaler M, eds.
    Braun-Falco’s Dermatology. 3rd
    ed. Heidelberg: Springer; 2009
    )
    AR, RECQL4 (DNA helicase)
  • Presents with photodistributed erythema and vesicles on face in first few months of life, evolves into poikiloderma and extends to buttocks and extremities, premalignant acral keratoses, alopecia, cataracts, hypoplastic thumbs/ radii/ulnae, ↑ risk osteosarcoma, normal intelligence
   
 
Rothmund Thomson – Reduced Thumbs
ROTH (4 letters) – RecQL4