{"id":7526,"date":"2020-04-24T20:43:09","date_gmt":"2020-04-24T23:43:09","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/sindrome-de-bloom\/"},"modified":"2020-04-27T16:10:22","modified_gmt":"2020-04-27T19:10:22","slug":"bloom-syndrome-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-bloom\/","title":{"rendered":"Bloom syndrome"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-bloom\/#%C2%BFQue-es-la-floracion-sindrome\" >What is flowering? syndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-bloom\/#%C2%BFQue-causa-el-sindrome-de-Bloom-y-quien-lo-contrae\" >What Causes Bloom Syndrome and Who Gets It?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-bloom\/#%C2%BFCuales-son-los-signos-y-sintomas-del-sindrome-de-Bloom\" >What are the signs and symptoms of Bloom syndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-bloom\/#%C2%BFCual-es-el-tratamiento-para-el-sindrome-de-Bloom\" >What is the treatment for Bloom syndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-bloom\/#%C2%BFCual-es-el-resultado-del-sindrome-de-Bloom\" >What is the result of Bloom syndrome?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-floracion-sindrome\"><\/span>What is flowering? <span class=\"term\" data-term-id=\"350\">syndrome<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bloom syndrome is a rare inherited condition characterized by:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"700\">Telangiectasias<\/span> (visible broken <span class=\"term\" data-term-id=\"953\">blood vessels<\/span> under the skin) on the face<\/li>\n<li> <span class=\"term\" data-term-id=\"706\">Photosensitivity<\/span> <\/li>\n<li>Unusually small size at birth<\/li>\n<li>Greater susceptibility to infections and respiratory diseases.<\/li>\n<li>Increased susceptibility to cancers of many sites and types.<\/li>\n<\/ul>\n<p>The condition was first described by <span class=\"term\" data-term-id=\"54\">dermatologist<\/span> Dr. David Bloom in 1954 and is also known as <span class=\"term\" data-term-id=\"1036\">congenital<\/span> telangiectatic <span class=\"term\" data-term-id=\"90\">erythema<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-el-sindrome-de-Bloom-y-quien-lo-contrae\"><\/span>What Causes Bloom Syndrome and Who Gets It?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bloom syndrome is a <span class=\"term\" data-term-id=\"828\">autosomal<\/span> hereditary recessive disorder, which means that two abnormal Bloom syndrome <span class=\"term\" data-term-id=\"775\">genes<\/span> they are necessary for the disease to be apparent (one from each parent). If a person has one affected <span class=\"term\" data-term-id=\"774\">gene<\/span>, he or she is called a <span class=\"term\" data-term-id=\"1905\">carrier<\/span> of Bloom syndrome and does not show symptoms of the disease. If both parents are <span class=\"term\" data-term-id=\"1906\">carriers<\/span>, there is a 1 in 4 chance of having an affected child with each pregnancy. Recessive diseases are usually consanguineous (eg, cousin marriages).<\/p>\n<p>The gene for Bloom syndrome, <em>BLM<\/em>, is found in <span class=\"term\" data-term-id=\"1271\">chromosome<\/span> 15 (the genetic locus is band 15q26.1). <span class=\"term\" data-term-id=\"871\">Mutations<\/span> in this gene cause errors in the copying process during <span class=\"term\" data-term-id=\"1296\">DNA<\/span> replication and result in a greater number of breaks and chromosome rearrangements \/ sister chromatid exchanges. The result is abnormalities in the RecQL3 protein, leading to the signs and symptoms of Bloom syndrome.<\/p>\n<p>Bloom&#039;s syndrome is more common in Ashkenazi Jews from Eastern Europe. At least 1 in 100 Ashkenazi Jews is a carrier of the disease. It seems to be slightly more common in men than women.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-los-signos-y-sintomas-del-sindrome-de-Bloom\"><\/span>What are the signs and symptoms of Bloom syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bloom syndrome is apparent from birth and affected newborns are unusually small. Most parents seek medical help when the baby does not grow normally. More than 50%s of children are significantly underdeveloped in physical stature up to age 8 years, and most do not reach 1.5 meters (5 feet) in adulthood.<\/p>\n<p>Other features of Bloom syndrome become apparent as the child grows. These include:<\/p>\n<ul>\n<li>Skin characteristics\n<ul>\n<li>Telangiectatic erythema - broken spider veins and reddening of the skin of the face, mainly across the bridge of the nose and the adjacent area of the upper cheek (butterfly <span class=\"term\" data-term-id=\"69\">distribution<\/span>)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1521\">Pigmentation<\/span> of areas exposed to the sun<\/li>\n<li>Cheilitis (swelling of the lips) with <span class=\"term\" data-term-id=\"966\">crust<\/span> or bleeding<\/li>\n<li>Skin problems are aggravated by sun exposure in many cases (photosensitivity) and their severity ranges from mild to severely disfiguring.<\/li>\n<li>There is some improvement with age.<\/li>\n<\/ul>\n<\/li>\n<li>Characteristics of the skull, face and body.\n<ul>\n<li>Lack of <span class=\"term\" data-term-id=\"900\">subcutaneous<\/span> fat creates a birdlike appearance, with a long narrow face and prominent nose<\/li>\n<li>Relatively large protruding ears<\/li>\n<li>Long limbs, particularly long arms in proportion to body length<\/li>\n<li>Disproportionately large hands and feet<\/li>\n<li>A high-pitched voice may be present<\/li>\n<\/ul>\n<\/li>\n<li>Increased susceptibility to ear, respiratory, and gastrointestinal infections, some of which can be life-threatening.\n<ul>\n<li>Bloom syndrome patients have decreased <span class=\"term\" data-term-id=\"427\">immunoglobulin<\/span> A and M.<\/li>\n<\/ul>\n<\/li>\n<li>Greater susceptibility to <span class=\"term\" data-term-id=\"30\">Cancer<\/span>\n<ul>\n<li>Patients with Bloom syndrome have an overall risk of 150 to 300 times the risk of developing some type of cancer compared to the general population.<\/li>\n<li>At least 20% of patients with Bloom syndrome develop <span class=\"term\" data-term-id=\"613\">leukemia<\/span> or <span class=\"term\" data-term-id=\"1128\">solid<\/span> organ cancer<\/li>\n<li>Cancers generally arise unusually early in life, with the diagnosis made at 25 years of age.<\/li>\n<li>Skin cancers are common in patients with Bloom syndrome. <\/li>\n<\/ul>\n<\/li>\n<li>Sterility\n<ul>\n<li>Men with Bloom syndrome are sterile.<\/li>\n<li>Women have reduced fertility and shortened the reproductive period.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-sindrome-de-Bloom\"><\/span>What is the treatment for Bloom syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Because it is a <span class=\"term\" data-term-id=\"558\">genetic<\/span> disorder, there is no cure available. Genetic counseling may be appropriate for affected individuals and carriers (their parents and siblings). A genetic test to identify the <span class=\"term\" data-term-id=\"870\">mutation<\/span> It is available in some regions.<\/p>\n<p>Treatment is primarily preventive.<\/p>\n<ul>\n<li>Strict sun protection for life to reduce the risk of skin cancer later in life.<\/li>\n<li>Patients with Bloom syndrome should be closely monitored for signs of <span class=\"term\" data-term-id=\"892\">precancerous<\/span> or cancerous conditions.<\/li>\n<li>Treatment of short stature with growth hormone should be avoided as it is believed to increase the chance of cancer.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1325\">Radiotherapy<\/span> and <span class=\"term\" data-term-id=\"1619\">chemotherapy<\/span> it may be inappropriate due to the risk of serious adverse effects due to the genetic defect. <\/li>\n<li>\n<span class=\"term\" data-term-id=\"937\">Bacterial<\/span> Infections must be treated immediately with antibiotics.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-resultado-del-sindrome-de-Bloom\"><\/span>What is the result of Bloom syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Death often occurs in the second or third decade, commonly from cancer.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la floraci\u00f3n? s\u00edndrome? El s\u00edndrome de Bloom es una afecci\u00f3n hereditaria rara caracterizada por: Telangiectasias (visible roto vasos sanguineos debajo de la piel) en la cara Fotosensibilidad Tama\u00f1o&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7526","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7526","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7526"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7526\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7526"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7526"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7526"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}