What is Ataxia-Telangiectasia?

Ataxia-Telangiectasia
Ataxia-Telangiectasia. Hematoxylin and eosin stained sections of the gastric adenocarcinoma resected from our patient. [A] Cytological features of malignant glands; the cells are irregularly shaped with high nucleus to cytoplasm ratio and loss of nuclear polarity. The small dark cells are inflammatory cells (100× enlargement) [B] This area of tumor is in the serosa; there is redemonstration of irregular glands formed by tumor cells of varying sizes and orientation, with prominent nucleoli. The large clear spaces are fat cells (200× enlargement). Gastric outlet obstruction due to adenocarcinoma in a patient with Ataxia-Telangiectasia syndrome: a case report and review of the literature. Otabor IA, Abdessalam SF, Erdman SH, Hammond S, Besner GE - World journal of surgical oncology (2009). Not Altered. CC.

Ataxia telangiectasia is a very rare inherited disorder that affects the immune system, and nervous system.

What is the Pathology of Ataxia-Telangiectasia?

The pathology of ataxia-telangiectasia is:

-Etiology: The cause of ataxia-telangiectasia is mutations in the ATM.

-Genes involved: Ataxia telangiectasia mutated (ATM).

-Pathogenesis: The sequence of events that lead to ataxia-telangiectasia are as a result of ATM gene mutation, which speciously controls the cell cycle and plays a key role in the guard of the genome.

-Morphology: The morphology associated with ataxia-telangiectasia shows progeric skin variations.

-Histology: The histology associated with ataxia-telangiectasia shows different granulomatous patterns.

How does Ataxia Telangiectasia Present? 

Patients with ataxia-telangiectasia typically are children below the age of 5 years old and equally among males and females. The symptoms, features, and clinical findings associated with ataxia-telangiectasia include difficulty in movement coordination, inability to balance self, muscle twitching, slurred speech, clusters of the blood vessel are seen on the eyes.

How is Ataxia-Telangiectasia Diagnosed? 

The ataxia-telangiectasia is diagnosed mostly by physical examination, history taking, a blood sample to identify the level of alpha-fetoprotein, genetic testing, and MRI. 

How is Ataxia-Telangiectasia Treated? 

The ataxia-telangiectasia is treated by the use of antibiotics, injection with immunoglobulins to lower chances of infection, use of beta-adrenergic blockers, regular screening to detect cancer.

What is the Prognosis of Ataxia-Telangiectasia?

The prognosis of ataxia-telangiectasia is poor if there is the involvement of the pulmonary system since most patients die during adolescence.