Table 3.

Recommended Evaluations Following Initial Diagnosis in Individuals with Rothmund-Thomson Syndrome (RTS)

System/ConcernEvaluationComment
Skin Dermatologic eval
Skeletal Baseline skeletal radiographic exam by age 5 yrs to identify underlying skeletal abnormalities; baseline DXA scan to assess bone mineral density if indicatedObtain DXA if osteopenia is seen on skeletal survey or there is a history of fractures.
Hematologic Baseline CBC w/differentialIndividuals w/clinical evidence of anemia or cytopenias should be evaluated by CBC & bone marrow biopsy if clinically indicated.
Vision Ophthalmologic exam to evaluate for cataracts
Other Consultation w/clinical geneticist &/or genetic counselor

CBC = complete blood count; DXA = dual-energy x-ray absorptiometry

From: Rothmund-Thomson Syndrome

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