Table 2.
Patient ID, gender, age at diagnosis | BLM germline mutation | History of IUGR | Parameters at birth | History of feeding difficulties | Height | Facial appearance | Skin lesions | Infections | Immune status | Cancer | Other clinical features |
---|---|---|---|---|---|---|---|---|---|---|---|
Patient 1 Male, 12 years | c.1642C>T (p.Q548X)/c.2512C>T (p.Q838X) | yes | height: 44 cm; weight: 1,765 g; OFC: 28 cm; Apgar score: 7–8 | yes | 138 cm (–1.6 SD) | long face, prominent nose and ears | multiple caféau-lait spots; sun-induced erythema around nose; facial seborrheic dermatitis instead of erythema since the age of 9 years | recurrent respiratory infections; 2 episodes of pneumonia (at the age of 10 and 12 years); chronic rhinitis | low IgM | – | sparseness of subcutaneous fat before puberty, but premature pubescence accompanied by excessive weight gain |
Patient 2 Male, 6 years | c.1642C>T (p.Q548X)/c.1642C>T (p.Q548X) | yes | height: 50 cm; weight: 2,850 g; OFC: 33.5 cm; Apgar score 7–8 | yes | 105 cm (–2.1 SD) | long face, prominent nose | none | pneumonia at the first year of life; recurrent respiratory infections; enterocolitis and pneumonia during cancer chemotherapy | low IgA, IgM, IgG | medullo-blastoma at the age of 4 years | sparseness of subcutaneous fat; chronic diarrhea; lactose intolerance |
Ig, immunoglobulin; IUGR, intrauterine growth retardation; OFC, occipitofrontal circumference. Patient 1 is from Kazan and patient 2 from St. Petersburg.