Main clinical features
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characterized by early reticulate skin pigmentation, nail dystrophy, mucosal leukoplakia and progressive bone-marrow failure
bone marrow failure syndrome characterized by the cutaneous triad of nail dystrophy, abnormal skin pigmentation and mucosal leukoplakia, causing premature death due to aplastic anemia; patient cells show short telomeres, and a translational dysfunction in TP53 expression may promote cancer initiation even in the context of telomere shortening (PMID: 20453831)) |