[Anesthesia for a patient with Bloom's syndrome]

Bloom's syndrome (BS) is a rare autosomal recessive disorder. The disease is due to chromosome breakage and recombination. The principal features of the syndrome are short stature of prenatal onset, a photosensitive telangiectasic erythema of the face and a marked predisposition to the development of malignant diseases. We are unaware of any previous report of the anesthetic management of a BS patient. In this paper, we reported the anesthetic experience of a male patient (37-yr-old, 26 kg, 136 cm) with Bloom's syndrome who underwent emergency laparotomy. The awake laryngoscopy was carried out, but we could not see the vocal cord directly. The trachea was blindly intubated and anesthesia was induced and maintained with fentanyl, vecuronium and enflurane in 100% oxygen. In a BS patient we should pay attention to potential difficulties with mask fit and laryngoscopy.