The role of genetic testing in suspected fulminant myocarditis: A case report.

Acute myocarditis Arrhythmogenic cardiomyopathy Biopsy Genetics PKP2

Journal

Molecular genetics and metabolism reports
ISSN: 2214-4269
Titre abrégé: Mol Genet Metab Rep
Pays: United States
ID NLM: 101624422

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 09 06 2023
revised: 12 08 2023
accepted: 13 08 2023
medline: 4 9 2023
pubmed: 4 9 2023
entrez: 4 9 2023
Statut: epublish

Résumé

ACM is a rare hereditary heart disease characterized by a progressive fibro-fatty replacement of the myocardium that can affect either the right or the left ventricle or both. It is mainly caused by variants in the desmosome genes with autosomal dominant transmission and incomplete penetrance. The disease shows a wide spectrum of clinical manifestations, including ventricular arrhythmias, HF and myocarditis. The latter is considered a 'hot phase' in the natural history of the disease and must therefore be distinguished from the isolated AM, which is frequently due to viral infections. Our case report is an example of how an AM, as the first manifestation of the disease, helped to reach a diagnosis of ACM through the genetic analysis. In fact, the multi-parametric investigation, which also included CMR and EMB, revealed controversial aspects that led us to perform the genetic test. The latter revealed a heterozygous pathogenic variant in the

Identifiants

pubmed: 37662494
doi: 10.1016/j.ymgmr.2023.101000
pii: S2214-4269(23)00046-0
pmc: PMC10470308
doi:

Types de publication

Case Reports

Langues

eng

Pagination

101000

Informations de copyright

© 2023 The Authors. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

None.

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Auteurs

Raffaella Mistrulli (R)

Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, 00189 Rome, Italy.

Caterina Micolonghi (C)

Department of Experimental Medicine, Faculty of Medicine and Dentistry, Sapienza University of Rome, 00161 Rome, Italy.

Federico Follesa (F)

Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, 00189 Rome, Italy.

Marco Fabiani (M)

Department of Experimental Medicine, Faculty of Medicine and Dentistry, Sapienza University of Rome, 00161 Rome, Italy.
ALTAMEDICA, Human Genetics, 00198 Rome, Italy.

Erika Pagannone (E)

Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, 00189 Rome, Italy.

Giulia D'Amati (G)

Department of Radiological, Oncological and Pathological Sciences, Sapienza, University of Rome, Rome, Italy.

Carla Giordano (C)

Department of Radiological, Oncological and Pathological Sciences, Sapienza, University of Rome, Rome, Italy.

Silvia Caroselli (S)

Reproductive Genetics, Juno Genetics, 00188 Rome, Italy.

Camilla Savio (C)

S. Andrea University Hospital, 00189 Rome, Italy.

Aldo Germani (A)

Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, 00189 Rome, Italy.

Antonio Pizzuti (A)

Department of Experimental Medicine, Faculty of Medicine and Dentistry, Sapienza University of Rome, 00161 Rome, Italy.
Medical Genetics Unit, IRCCS Mendel Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy.

Vincenzo Visco (V)

Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, 00189 Rome, Italy.

Simona Petrucci (S)

Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, 00189 Rome, Italy.
Medical Genetics Unit, IRCCS Mendel Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy.

Speranza Rubattu (S)

Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, 00189 Rome, Italy.
IRCCS Neuromed, Pozzilli, IS 86077, Italy.

Maria Piane (M)

Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, 00189 Rome, Italy.

Camillo Autore (C)

San Raffaele Cassino, 03043, Italy.

Classifications MeSH