Early infantile cardiomyopathy and liver disease: A multisystemic disorder caused by congenital lipodystrophy

被引:18
作者
Debray, Francois-Guillaume [1 ,2 ,3 ]
Baguette, Christel [4 ]
Colinet, Stephanie [4 ]
Van Maldergem, Lionel [5 ]
Verellen-Dumouin, Christine [6 ]
机构
[1] CHU Sart Tilman, Dept Med Genet, Metab Unit, B-4000 Liege, Belgium
[2] Univ Liege, B-4000 Liege, Belgium
[3] CHC, Clin Esperance, Pinocchio Ctr Inborn Metab Dis, B-4000 Liege, Belgium
[4] CHC, Clin Esperance, Dept Pediat, B-4000 Liege, Belgium
[5] Univ Franche Compte, Ctr Human Genet, Besancon, France
[6] Inst Pathol & Genet, B-6041 Gosselies, Belgium
关键词
Lipodystrophy; Hypertrophic cardiomyopathy; Overgrowth; Hypertriglyceridemia; Insulin resistance; GENERALIZED LIPODYSTROPHY;
D O I
10.1016/j.ymgme.2013.04.011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Congenital generalized lipodystrophy is a rare inherited multisystemic disorder associated with disturbances of adipocyte functions. We report a young boy presenting at age 1 month with liver disease and severe hypertrophic cardiomyopathy. Despite this multisystemic involvement and contrasting with a cachectic appearance, the anthropometric parameters showed marked overgrowth (+4 DS), leading to diagnosis of congenital lipodystrophy, which was confirmed by the presence of the new homozygous c.259C>T (p.Gln87*) mutation in the AGPAT2 gene. Early infantile cardiomyopathy should be considered as a specific endophenotype in Berardinelli-Seip Congenital Lipodystrophy syndrome. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:227 / 229
页数:3
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