2013
DOI: 10.1542/peds.2012-1139
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Nemaline Myopathy With Dilated Cardiomyopathy in Childhood

Abstract: We present a case of a 9-year-old boy with nemaline myopathy and dilated cardiomyopathy. The combination of nemaline myopathy and cardiomyopathy is rare, and this is the first reported case of dilated cardiomyopathy associated with childhood-onset nemaline myopathy. A novel mutation, p.W358C, in ACTA1 was detected in this patient. An unusual feature of this case was that the patient' s cardiac failure developed during early childhood with no delay of gross motor milestones. The use of a b-blocker did not impro… Show more

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Cited by 35 publications
(31 citation statements)
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References 15 publications
(29 reference statements)
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“…An association of rods with cardiomyopathy has been reported in less than 20 patients, all presenting general skeletal muscle involvement as primary manifestations [20]. Ten patients developed cardiac failure in adulthood, and six manifested cardiac involvement in infancy or childhood.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…An association of rods with cardiomyopathy has been reported in less than 20 patients, all presenting general skeletal muscle involvement as primary manifestations [20]. Ten patients developed cardiac failure in adulthood, and six manifested cardiac involvement in infancy or childhood.…”
Section: Discussionmentioning
confidence: 99%
“…A molecular diagnosis was available only for three pediatric patients [18–20], all carrying dominant de novo mutations in ACTA1 . Two of them manifested hypertrophic cardiomyopathy (HCM) [18, 19], and one childhood-onset dilated cardiomyopathy [20]. Intriguingly, HCM was the revealing symptom in the patient reported by D’Amico et al [18].…”
Section: Discussionmentioning
confidence: 99%
“…100 In 143 cases of nemaline myopathy, 6 neonates developed transient HF and 1 infant developed LV dysfunction with congenital long-QT syndrome. 101 In another study with 66 patients with CM, no cardiac lesions were noted 102 ; however, hypertrophic, [103][104][105] dilated, [106][107][108][109][110] and LVNC cardiomyopathy phenotypes, 111,112 as well as sudden death, 113 have been described. Recessive mutations in TTN (encoding titin) and MYH7 (encoding myosin heavy chain-7) have been associated with minicore-like disease, with early development of dilated cardiomyopathy, ventricular arrhythmias, and sudden cardiac death.…”
Section: E208mentioning
confidence: 99%
“…NM is a clinically and genetically heterogeneous disorder (10) . Pathogenic variants in ten different genes have been identified, six of them encode protein components of the muscle thin filament, while three are involved in the protein turnover in the muscle sarcomere (1) .…”
Section: Discussionmentioning
confidence: 99%