Ataxia pancytopaenia syndrome (ATXPC)

Evidence-based neurology checklist on ataxia pancytopaenia syndrome (atxpc): Genetics This is caused by mutations in the SAMD9L gene on chromosome 7 The transmission is autosomal dominant The onset is in the first to third decades There is associated Purkinje cell degeneration Neurological…

Genetics

  • This is caused by mutations in the SAMD9L gene on chromosome 7
  • The transmission is autosomal dominant
  • The onset is in the first to third decades
  • There is associated Purkinje cell degeneration

Neurological features

Haematological features

Possible associated features

Differential diagnosis: dyskeratosis congenita (DC)

Differential diagnosis: Hoyeraal-Hreidarsson syndrome (HHS)

Magnetic resonance imaging (MRI) brain: features

Treatment

Synonym

References

  1. Davidsson J, Puschmann A, Tedgård U, Bryder D, Nilsson L, Cammenga J. SAMD9 and SAMD9L in inherited predisposition to ataxia, pancytopenia, and myeloid malignancies. Leukemia 2018; 32:1106-1115. 
  2. Gorcenco S, Komulainen-Ebrahim J, Nordborg K, et al. Ataxia-pancytopenia syndrome with SAMD9L mutations. Neurol Genet 2017; 3:e183.
  3. Chen DH, Below JE, Shimamura A, et al. Ataxia-pancytopenia syndrome is caused by missense mutations in SAMD9L. Am J Hum Genet 2016; 98:1146-1158.
  4. Vaughan D, Bogdanova-Mihaylova P, Costello DJ, et al. Ataxia pancytopenia syndrome due to SAMD9L mutation presenting as demyelinating neuropathy. J Peripher Nerv Syst 2020; 25:433-437. 
  5. Tesi B, Davidsson J, Voss M, et al. Gain-of-function SAMD9L mutations cause a syndrome of cytopenia, immunodeficiency, MDS, and neurological symptoms. Blood 2017; 129:2266-2279.
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