Limb-girdle muscular dystrophy with severe heart failure overlapping with lipodystrophy in a patient with LMNA mutation p.Ser334del.

Abstract:

:Laminopathies, a group of heterogeneous disorders associated with lamin A/C gene (LMNA) mutations, encompass a wide spectrum of clinical phenotypes, which may present as separate disease or as overlapping syndromes. We describe a 35-year-old female in whom a novel sporadic heterozygous mutation c.1001_1003delGCC (p.Ser334del) of the LMNA gene was found. The patient presented with overlapping syndrome of heart failure secondary to dilated cardiomyopathy, limb-girdle dystrophy and partial lipodystrophy. Endomyocardial biopsy revealed strong up-regulation of HLA classes I and II antigens on microvessels and induction of the class I antigens on cardiomyocytes. On muscle biopsy, a wide range of fiber sizes and small clusters of inflammatory infiltrations were found. In the rapid progression of heart failure with arrhythmias or conduction defect, accompanied with muscle atrophy and lipodystrophy, the genetic disease should be taken into consideration. In addition, undefined inflammatory response and fibrosis in the heart or skeletal muscle might further justify screening of the lamin A/C gene.

journal_name

J Appl Genet

authors

Madej-Pilarczyk A,Niezgoda A,Janus M,Wojnicz R,Marchel M,Fidziańska A,Grajek S,Hausmanowa-Petrusewicz I

doi

10.1007/s13353-016-0365-2

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

87-91

issue

1

eissn

1234-1983

issn

2190-3883

pii

10.1007/s13353-016-0365-2

journal_volume

58

pub_type

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