raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1775

Dyskeratosis congenita

Synonyms: DC · DKC · Zinsser-Engman-Cole syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive, X-linked recessive
Age of onset
Adolescent, Adult, Childhood, Infancy, Neonatal
Status
active

A rare ectodermal dysplasia syndrome that often presents with the classic triad of nail dysplasia, skin pigmentary changes, and oral leukoplakia associated with a high risk of bone marrow failure (BMF) and cancer.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enDyskeratosis congenitaDC · DKC · Zinsser-Engman-Cole syndrome
frDyskératose congénitaleDC · DKC · Syndrome de Zinsser-Engman-Cole
deDyskeratosis congenitaDC · DKC · Zinsser-Engman-Cole-Syndrom
esDisqueratosis congénitaDC · DKC · Síndrome de Zinsser-Engman-Cole
itDischeratosi congenitaDC · DKC · Sindrome di Zinsser-Engman-Cole
nlDyskeratosis congenitaDC · DKC · Syndroom van Zinsser-Engman-Cole
ptDisqueratose congénitaDQC
plDyskeratoza wrodzonaDC · DKC · Zespół Zinssera, Engmana i Cole'a
csVrozená dyskeratózaDC · DKC · Zinsserův-Engmanův-Coleův syndrom · Zinsser-Engman-Coleův syndrom
ukВроджений дискератозDC · DKC · Синдром Зінссера-Енгмана-Коле
zh先天性角化不良Zinsser-Engman-Cole综合征
trDiskeratozis konjenitaDC · DKC · Zinsser-Engman-Cole sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM127550Evalidated
OMIM224230BTNTvalidated
OMIM305000BTNTvalidated
OMIM613987BTNTvalidated
OMIM613988BTNTvalidated
OMIM613989BTNTvalidated
OMIM613990BTNTvalidated
OMIM615190BTNTvalidated
OMIM616353BTNTvalidated
OMIM616553BTNTvalidated
OMIM620040BTNTvalidated
OMIM620133BTNTvalidated
ICD-10Q82.8NTBTindexvalidated
ICD-113A70.0NTBTindexvalidated
MONDO0015780Evalidated
MeSHD019871Evalidated
UMLSC0265965Evalidated
GARD10905Evalidated
MedDRA10062759Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (8):

No children.

4

Genes

14 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NPM1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:7910ENSG000001811631640405q35.1nucleophosmin 131570891[PMID]
ACDDisease-causing germline mutation(s) inAssessedHGNC:25070ENSG0000010297760937716q22.1ACD shelterin complex subunit and telomerase recruitment factor25205116[PMID]
CTC1Disease-causing germline mutation(s) inAssessedHGNC:26169ENSG0000017897161312917p13.1CST telomere replication complex component 120301779[PMID]_22532422[PMID]_22556055[PMID]
DKC1Disease-causing germline mutation(s) inAssessedHGNC:2890ENSG00000130826300126Xq28dyskerin pseudouridine synthase 120301779[PMID]
NHP2Disease-causing germline mutation(s) inAssessedHGNC:14377ENSG000001459126064705q35.3NHP2 ribonucleoprotein20301779[PMID]
NOP10Disease-causing germline mutation(s) inAssessedHGNC:14378ENSG0000018211760647115q14NOP10 ribonucleoprotein20301779[PMID]
PARNDisease-causing germline mutation(s) inAssessedHGNC:8609ENSG0000014069460421216p13.12poly(A)-specific ribonuclease25893599[PMID]
RTEL1Disease-causing germline mutation(s) inAssessedHGNC:15888ENSG0000025836660883320q13.33regulator of telomere elongation helicase 123453664[PMID]
TERCDisease-causing germline mutation(s) inAssessedHGNC:11727ENSG000002701416023223q26.2telomerase RNA component20301779[PMID]
TERTDisease-causing germline mutation(s) inAssessedHGNC:11730ENSG000001643621872705p15.33telomerase reverse transcriptase20301779[PMID]
TINF2Disease-causing germline mutation(s) inAssessedHGNC:11824ENSG0000009233060431914q12TERF1 interacting nuclear factor 220301779[PMID]
TYMSDisease-causing germline mutation(s) inAssessedHGNC:12441ENSG0000017689018835018p11.32thymidylate synthetase35931051[PMID]
USB1Disease-causing germline mutation(s) inAssessedHGNC:25792ENSG0000010300561327616q21U6 snRNA biogenesis phosphodiesterase 120817924[PMID]_22160078[PMID]
WRAP53Disease-causing germline mutation(s) inAssessedHGNC:25522ENSG0000014149961266117p13.1WD repeat containing antisense to TP5320301779[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.1 / 100 000EuropeValue and classValidated[EXPERT]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

62 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008066Abnormal blistering of the skin
HP:0001231Abnormal fingernail morphology
HP:0001874Abnormality of neutrophils
HP:0001903Anemia
HP:0001034Hypermelanotic macule
HP:0012733Macule
HP:0008404Nail dystrophy
HP:0002745Oral leukoplakia
HP:0001873Thrombocytopenia
Frequent (79-30%)
HP:0000008Abnormal morphology of female internal genitalia
HP:0001928Abnormality of coagulation
HP:0000164Abnormality of the dentition
HP:0000600Abnormality of the pharynx
HP:0012732Anorectal anomaly
HP:0008065Aplasia/Hypoplasia of the skin
HP:0010624Aplastic/hypoplastic toenail
HP:0005528Bone marrow hypocellularity
HP:0000670Carious teeth
HP:0005374Cellular immunodeficiency
HP:0010450Esophageal stenosis
HP:0001263Global developmental delay
HP:0000975Hyperhidrosis
HP:0000668Hypodontia
HP:0001053Hypopigmented skin patches
HP:0001511Intrauterine growth retardation
HP:0002024Malabsorption
HP:0002664Neoplasm
HP:0000704Periodontitis
HP:0002757Recurrent fractures
HP:0002205Recurrent respiratory infections
HP:0100670Rough bone trabeculation
HP:0004322Short stature
HP:0200042Skin ulcer
HP:0008070Sparse hair
HP:0000679Taurodontia
HP:0100585Telangiectasia of the skin
HP:0002575Tracheoesophageal fistula
HP:0008661Urethral stenosis
Occasional (29-5%)
HP:0000534Abnormal eyebrow morphology
HP:0000499Abnormal eyelash morphology
HP:0000035Abnormal testis morphology
HP:0001596Alopecia
HP:0010885Avascular necrosis
HP:0000498Blepharitis
HP:0000518Cataract
HP:0002514Cerebral calcification
HP:0001394Cirrhosis
HP:0000819Diabetes mellitus
HP:0100627Displacement of the urethral meatus
HP:0000365Hearing impairment
HP:0001399Hepatic failure
HP:0002240Hepatomegaly
HP:0000327Hypoplasia of the maxilla
HP:0002665Lymphoma
HP:0002894Neoplasm of the pancreas
HP:0000939Osteoporosis
HP:0000982Palmoplantar keratoderma
HP:0002216Premature graying of hair
HP:0002650Scoliosis
HP:0200037Skin vesicle
HP:0001744Splenomegaly
HP:0011364White hair

Run the differential on the 9 obligate / very frequent terms

7

Sources for this card