Information on ATM

Basic details

Name: Ataxia-telangiectasia | Acronym: ATM
Alt. names: A-T | Louis-Bar syndrome

Gene: ATM | MOI: Autosomal recessive | Mechanism of action: Loss of Function

No. of cases in DB: 0 | First reported in: 1995

Last updated on: 2023-02-28 16:41:18 by

OMIM: 208900

Orphanet: 100

MONDO: -

DOID: -

ClinGen:

Description

It is characterized by progressive cerebellar ataxia, dilation of the blood vessels of the conjunctiva and eyeballs (telangiectasia), immunodeficiency (mainly of the humoral immune response), growth retardation, and sexual immaturity. Patients present neurological signs, increased susceptibility to infections, especially pulmonary, and increased risk of cancer, but the severity is variable. The first symptoms are abnormal movements (choreoathetosis), loss of balance, and difficulty speaking, followed by telangiectasias, poor coordination, and progressively worse tremors. In addition, 30% have learning difficulties or moderate intellectual deficiency.

Management

The current treatment is symptomatic, through physiotherapy, speech therapy and the treatment of infections with antibiotics, to avoid pulmonary complications. Beta-blocking drugs are used to reduce tremors and improve fine movements. Due to the susceptibility of patients to X-rays, radiation therapy, and some forms of chemotherapy, should be used with caution. The use of a wheelchair may be necessary from 10-11 years of age.

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0 reported cases added to GenIA

SubjectID Sex Fam.ID AD AFM Validity Country Population Reference & Pub.code

AD: Age at genetic diagnosis; AFM: age at first manifestation; PMID: PubMed ID; GRID: GenIA reference ID (ref. not in PubMed).

Summary of clinical findings

[Considering only Definitive and Possible cases]

Rank Clinical term Present Absent Unreported
1 Ataxiaarrow icon 104 (99.9%) 0 (0.0%) 0 (0.0%)
2 Dysarthriaarrow icon 104 (99.9%) 0 (0.0%) 0 (0.0%)
3 Choreoathetosisarrow icon 81 (87.1%) 0 (0.0%) 12 (12.9%)
4 Failure to thrivearrow icon 39 (37.5%) 0 (0.0%) 65 (62.5%)
5 Childhood onsetarrow icon 2 (99.9%) 0 (0.0%) 0 (0.0%)
6 Conjunctival telangiectasiaarrow icon 2 (99.9%) 0 (0.0%) 0 (0.0%)
7 Elevated alpha-fetoproteinarrow icon 2 (99.9%) 0 (0.0%) 0 (0.0%)
8 Progressive cerebellar ataxiaarrow icon 2 (99.9%) 0 (0.0%) 0 (0.0%)
9 Recurrent lower respiratory tract infectionsarrow icon 2 (99.9%) 0 (0.0%) 0 (0.0%)
10 Acute lymphoblastic leukemiaarrow icon 1 (50.0%) 0 (0.0%) 1 (50.0%)
11 Chronic diarrheaarrow icon 1 (50.0%) 0 (0.0%) 1 (50.0%)
12 Decreased IgA levelsarrow icon 1 (50.0%) 0 (0.0%) 1 (50.0%)
13 Delayed speech and language developmentarrow icon 1 (50.0%) 0 (0.0%) 1 (50.0%)
14 Dysdiadochokinesisarrow icon 1 (50.0%) 0 (0.0%) 1 (50.0%)
15 Inability to walkarrow icon 1 (50.0%) 0 (0.0%) 1 (50.0%)
16 Intention tremorarrow icon 1 (50.0%) 0 (0.0%) 1 (50.0%)
17 Microcephalyarrow icon 1 (50.0%) 0 (0.0%) 1 (50.0%)
18 Nystagmusarrow icon 1 (50.0%) 0 (0.0%) 1 (50.0%)
19 Seizuresarrow icon 1 (50.0%) 0 (0.0%) 1 (50.0%)
20 Slurred speecharrow icon 1 (50.0%) 0 (0.0%) 1 (50.0%)
21 Abnormal B cell countarrow icon 0 (0.0%) 0 (0.0%) 2 (99.9%)

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Summary of treatment outcomes

[Considering only Definitive and Possible cases]

Treatment ⓘ Responses & clinical indications

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