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. 2011 Jun 15;11:3. doi: 10.1186/1471-2326-11-3

Table 3.

Dyskeratosis congenita (DC) cases with reported pulmonary disease who had a hematopoietic stem cell transplant (HSCT)

Case Sex DC Triad Age at HSCT Interval from HSCT to Pulmonary Symptoms Age at Pulmonary Symptoms Reported Pulmonary Findings Lung Pathology (biopsy or autopsy) Age Alive Age Died References
1 F 3 11 6 17 6 yr after HSCT restrictive lung disease, DLCO 21% Interstitial fibrosis 19 [49,50]

2 F 2 4.5 0.1 4.5 Interstitial infiltrates 3 mo after HSCT Interstitial fibrosis 5 [51]

3 F 3 3 20 23 Respiratory symptoms 20 yr after HSCT Interstitial fibrosis 23 [50]

4 M 2 26 0.2 26.3 Progressive acute idiopathic pneumonia Interstitial pneumonitis, pulmonary fibrosis 26 [50]

5 M 2 2 6 8 6 yr after HSCT restrictive airway disease, CT interstitial pneumonitis, Interstitial fibrosis 10 [52]

6 M 2 5 3 8 3 yr after HSCT CT interstitial pneumonitis Fibrosis without bronchiolitis 12.5 [53]

7 F 1 7.5 0.5 7.5 Pulmonary complications 6 mo after HSCT 7.5 [54]

8 M 3 16 12 28 Restrictive pattern, DLCO 37%, CT UIP 12 yr after HSCT 28 [43]

9 M 0 27 0.5 27.5 173 days after HSCT, obliterative fibro-alveolitis Obliterative bronchiolitis 28.3 [20,55]

10 M 2 4 4 Pulmonary disease after HSCT 4 [46]

11 M 3 36 Post-HSCT lung disease 36 [46]

12 M 3 4 7 11 7 yr after HSCT interstitial fibrosis (see Table 1) Interstitial fibrosis 14 (this report)

The details of the 11 DC cases (plus this case report) who had both pulmonary disease and HSCT are listed in Table 3. All ages are reported in years. Triad denotes the classic triad of DC and consists of nail dystrophy, oral leukoplakia, and lacy reticular pigmentation.

Abbreviations: HSCT, hematopoietic stem cell transplant; CT, computerized tomography; DC, dyskeratosis congenita; DLCO, diffusion capacity for carbon monoxide; F, female; M, male; UIP, usual interstitial pneumonitis.