
Ataxia-telangiectasia
Autosomal recessive
Mutation in ATM gene, which encodes a protein involved in the detection of DNA damage.
1/40,000–1/100,000
Progressive ataxia begins in childhood, along with slurred speech and oculomotor apraxia (difficult following movement with eyes), and choreoathetosis. Telangiectasia occur on skin and conjunctivae. There is increased susceptibility to infection due to immunodeficiency, and a markedly increased frequency of leukemia and lymphoma.
Supportive care.
Parents of affected child have 25% risk of recurrence. Genetic testing is available.