A Young Patient With Pancytopenia and Cirrhosis: Unraveling a Telomere Biology Disorder

Telomere biology disorders represent a rare spectrum of disease caused by genetic defects of telomere maintenance with multisystem involvement, most often related to organ failure and aging. Ranging in severity, telomere biology disorders can appear in the absence of known risk factors. We present a...

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Main Authors: Jacob R. Lipovac, Lucy Z. Shi
Format: Article
Language:English
Published: American College of Physicians 2025-06-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2025.0050
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author Jacob R. Lipovac
Lucy Z. Shi
author_facet Jacob R. Lipovac
Lucy Z. Shi
author_sort Jacob R. Lipovac
collection DOAJ
description Telomere biology disorders represent a rare spectrum of disease caused by genetic defects of telomere maintenance with multisystem involvement, most often related to organ failure and aging. Ranging in severity, telomere biology disorders can appear in the absence of known risk factors. We present a young patient who developed rapid onset of bone marrow failure and cirrhosis, ultimately found to be due to an underlying disorder of telomere biology with mutations within the PARN and TERT genes.
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id doaj-art-14f1aed8a8fa41dc88d7fe5b4c84cde3
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publishDate 2025-06-01
publisher American College of Physicians
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-14f1aed8a8fa41dc88d7fe5b4c84cde32025-08-20T02:32:22ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-06-014610.7326/aimcc.2025.0050A Young Patient With Pancytopenia and Cirrhosis: Unraveling a Telomere Biology DisorderJacob R. Lipovac0Lucy Z. Shi11University of California Davis School of Medicine, Sacramento, California2Department of Internal Medicine, University of California Davis, Sacramento, CaliforniaTelomere biology disorders represent a rare spectrum of disease caused by genetic defects of telomere maintenance with multisystem involvement, most often related to organ failure and aging. Ranging in severity, telomere biology disorders can appear in the absence of known risk factors. We present a young patient who developed rapid onset of bone marrow failure and cirrhosis, ultimately found to be due to an underlying disorder of telomere biology with mutations within the PARN and TERT genes.https://www.acpjournals.org/doi/10.7326/aimcc.2025.0050
spellingShingle Jacob R. Lipovac
Lucy Z. Shi
A Young Patient With Pancytopenia and Cirrhosis: Unraveling a Telomere Biology Disorder
Annals of Internal Medicine: Clinical Cases
title A Young Patient With Pancytopenia and Cirrhosis: Unraveling a Telomere Biology Disorder
title_full A Young Patient With Pancytopenia and Cirrhosis: Unraveling a Telomere Biology Disorder
title_fullStr A Young Patient With Pancytopenia and Cirrhosis: Unraveling a Telomere Biology Disorder
title_full_unstemmed A Young Patient With Pancytopenia and Cirrhosis: Unraveling a Telomere Biology Disorder
title_short A Young Patient With Pancytopenia and Cirrhosis: Unraveling a Telomere Biology Disorder
title_sort young patient with pancytopenia and cirrhosis unraveling a telomere biology disorder
url https://www.acpjournals.org/doi/10.7326/aimcc.2025.0050
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