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Syndrome reference sheet
Generated 13 Oct 2026
Hematology · Hematology / Bone marrow failure Hoyeraal–Hreidarsson syndrome
Also known as: Severe dyskeratosis congenita variant
Severe telomere biology disorder with immunodeficiency, cerebellar hypoplasia and microcephaly.
- Medical specialty
- Hematology
- Subspecialty
- Hematology / Bone marrow failure
- Sex & age distribution
- Male: affected, X-linked; Female: affected in autosomal forms; Children: yes, infancy
- Gene(s) involved
- ACD, DCLRE1B, DKC1, PARN, RTEL1, TERT, TINF2
Etiology & mechanism
Short telomeres from DKC1, TINF2, RTEL1 and other variants.
Gene(s) involved (7)
ACDDCLRE1BDKC1PARNRTEL1TERTTINF2
Symptoms & signs (7)
bone marrow failurecerebellar hypoplasiadevelopmental delayenteropathyimmunodeficiencyintrauterine growth restrictionmicrocephaly