Skip to main content
Erschienen in: Pediatric Cardiology 2/2013

01.02.2013 | Case Report

Diagnostic Challenge in Desmin Cardiomyopathy With Transformation of Clinical Phenotypes

verfasst von: Alexandra Gudkova, Anna Kostareva, Gunnar Sjoberg, Natalia Smolina, Marinan Turalchuk, Irina Kuznetsova, Margarita Rybakova, Lars Edstrom, Eugene Shlyakhto, Thomas Sejersen

Erschienen in: Pediatric Cardiology | Ausgabe 2/2013

Einloggen, um Zugang zu erhalten

Abstract

Desmin cardiomyopathy is a rare cause of congestive heart failure. Its clinical manifestation in adulthood often is associated with conduction disorders and a neuromuscular phenotype. Only a few cases have been reported, with early manifestation in childhood mostly due to severe cardiomyopathy dilationand conduction abnormalities. However, the disease can result in the variety of clinical phenotypes, including hypertrophic, restrictive, and arrthythmogenic cardiomyopathy. This report describes the first case of desmin cardiomyopathy with early manifestation in adolescence and transformation of several clinical phenotypes over time, representing sufficient difficulties for the correct clinical diagnosis and treatment of the disease at an early stage.
Literatur
1.
Zurück zum Zitat Arbustini E, Pasotti M, Pilotto A, Pellegrini C, Grasso M, Previtali S, Repetto A, Bellini O, Azan G, Scaffino M, Campana C, Piccolo G, Vigano M, Tavazzi L (2006) Desmin accumulation restrictive cardiomyopathy and atrioventricular block associated with desmin gene defects. Eur J Heart Fail 8:477–483PubMedCrossRef Arbustini E, Pasotti M, Pilotto A, Pellegrini C, Grasso M, Previtali S, Repetto A, Bellini O, Azan G, Scaffino M, Campana C, Piccolo G, Vigano M, Tavazzi L (2006) Desmin accumulation restrictive cardiomyopathy and atrioventricular block associated with desmin gene defects. Eur J Heart Fail 8:477–483PubMedCrossRef
2.
Zurück zum Zitat Bar H, Kostareva A, Sjoberg G, Sejersen T, Katus HA, Herrmann H (2006) Forced expression of desmin and desmin mutants in cultured cells: impact of myopathic missense mutations in the central coiled-coil domain on network formation. Exp Cell Res 312:1554–1565PubMedCrossRef Bar H, Kostareva A, Sjoberg G, Sejersen T, Katus HA, Herrmann H (2006) Forced expression of desmin and desmin mutants in cultured cells: impact of myopathic missense mutations in the central coiled-coil domain on network formation. Exp Cell Res 312:1554–1565PubMedCrossRef
3.
4.
Zurück zum Zitat Klauke B, Kossmann S, Gaertner A, Brand K, Stork I, Brodehl A, Dieding M, Walhorn V, Anselmetti D, Gerdes D, Bohms B, Schulz U, Zu Knyphausen E, Vorgerd M, Gummert J, Milting H (2010) De novo desmin-mutation N116S is associated with arrhythmogenic right ventricular cardiomyopathy. Hum Mol Genet 19:4595–4607PubMedCrossRef Klauke B, Kossmann S, Gaertner A, Brand K, Stork I, Brodehl A, Dieding M, Walhorn V, Anselmetti D, Gerdes D, Bohms B, Schulz U, Zu Knyphausen E, Vorgerd M, Gummert J, Milting H (2010) De novo desmin-mutation N116S is associated with arrhythmogenic right ventricular cardiomyopathy. Hum Mol Genet 19:4595–4607PubMedCrossRef
5.
Zurück zum Zitat Kreplak L, Bar H (2009) Severe myopathy mutations modify the nanomechanics of desmin intermediate filaments. J Mol Biol 385:1043–1051PubMedCrossRef Kreplak L, Bar H (2009) Severe myopathy mutations modify the nanomechanics of desmin intermediate filaments. J Mol Biol 385:1043–1051PubMedCrossRef
6.
Zurück zum Zitat Taylor MR, Slavov D, Ku L, Di Lenarda A, Sinagra G, Carniel E, Haubold K, Boucek MM, Ferguson D, Graw SL, Zhu X, Cavanaugh J, Sucharov CC, Long CS, Bristow MR, Lavori P, Mestroni L (2007) Prevalence of desmin mutations in dilated cardiomyopathy. Circulation 115:1244–1251PubMedCrossRef Taylor MR, Slavov D, Ku L, Di Lenarda A, Sinagra G, Carniel E, Haubold K, Boucek MM, Ferguson D, Graw SL, Zhu X, Cavanaugh J, Sucharov CC, Long CS, Bristow MR, Lavori P, Mestroni L (2007) Prevalence of desmin mutations in dilated cardiomyopathy. Circulation 115:1244–1251PubMedCrossRef
7.
Zurück zum Zitat Tesson F, Sylvius N, Pilotto A, Dubosq-Bidot L, Peuchmaurd M, Bouchier C, Benaiche A, Mangin L, Charron P, Gavazzi A, Tavazzi L, Arbustini E, Komajda M (2000) Epidemiology of desmin and cardiac actin gene mutations in a European population of dilated cardiomyopathy. Eur Heart J 21:1872–1876PubMedCrossRef Tesson F, Sylvius N, Pilotto A, Dubosq-Bidot L, Peuchmaurd M, Bouchier C, Benaiche A, Mangin L, Charron P, Gavazzi A, Tavazzi L, Arbustini E, Komajda M (2000) Epidemiology of desmin and cardiac actin gene mutations in a European population of dilated cardiomyopathy. Eur Heart J 21:1872–1876PubMedCrossRef
8.
Zurück zum Zitat van Spaendonck-Zwarts K, van Hessem L, Jongbloed JD, de Walle HE, Capetanaki Y, van der Kooi AJ, van Langen IM, van den Berg MP, van Tintelen JP (2010) Desmin-related myopathy: a review and meta-analysis. Clin Genet van Spaendonck-Zwarts K, van Hessem L, Jongbloed JD, de Walle HE, Capetanaki Y, van der Kooi AJ, van Langen IM, van den Berg MP, van Tintelen JP (2010) Desmin-related myopathy: a review and meta-analysis. Clin Genet
Metadaten
Titel
Diagnostic Challenge in Desmin Cardiomyopathy With Transformation of Clinical Phenotypes
verfasst von
Alexandra Gudkova
Anna Kostareva
Gunnar Sjoberg
Natalia Smolina
Marinan Turalchuk
Irina Kuznetsova
Margarita Rybakova
Lars Edstrom
Eugene Shlyakhto
Thomas Sejersen
Publikationsdatum
01.02.2013
Verlag
Springer-Verlag
Erschienen in
Pediatric Cardiology / Ausgabe 2/2013
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-012-0312-x

Weitere Artikel der Ausgabe 2/2013

Pediatric Cardiology 2/2013 Zur Ausgabe

From Other Journals

From Other Journals

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.