Chronic tibial nonunion in a Rothmund-Thomson syndrome patient

Aaron M. Carlson, Kristen B. Thomas, Salman Kirmani, Noralane M. Lindor

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Rothmund-Thomson syndrome (RTS) is an autosomal recessive disorder caused by biallelic mutations in RECQL4, a helicase involved with chromosomal instability and DNA repair. Patients typically present with a poikilodermatous facial rash, photosensitivity, congenital bony abnormalities, short stature, and have a predilection for osteosarcoma and cutaneous malignancies. We present a 34-year-old male RTS patient, previously diagnosed with osteosarcoma of the right forearm which was successfully treated with resection and chemotherapy, who has had multiple tibial fractures and has suffered from chronic nonunion of the proximal tibias bilaterally for greater than 9 years. The patient subsequently developed generalized lower extremity osteopenia with normal calcium homeostasis and calcitriol levels. As the RTS population continues to reach greater ages we must be mindful of other health concerns that may develop. Bone health is one considerable concern with a large portion of patients having congenital bony abnormalities and many receiving chemotherapy for osteosarcoma. We conclude that screening for bone health and supplementation with calcium and vitamin D may be warranted in RTS patients with a history of fractures and osteosarcoma treatment.

Original languageEnglish
Pages (from-to)2250-2253
Number of pages4
JournalAmerican Journal of Medical Genetics, Part A
Volume158 A
Issue number9
Publication statusPublished - Sept 2012
Externally publishedYes


  • Bone demineralization
  • DNA repair-deficiency disorders
  • Fractures
  • Pathological
  • Rothmund-Thomson syndrome
  • Ununited


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