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Regression of massive left ventricular hypertrophy in Danon disease
James Mannion1, Terence Prendiville2, Katie Murphy1
1Department of Cardiology, Mater Misericordiae University Hospital, Dublin 7, Ireland.
Insights
Danon disease, a rare genetic disorder, causes severe heart problems. This case highlights the rapid progression of cardiac issues in a young male patient over two years.
Area of Science:
- Genetics and rare diseases
- Cardiology
- Lysosomal storage disorders
Background:
- Danon disease is a rare X-linked lysosomal storage disorder.
- It affects multiple organ systems, primarily the heart, leading to severe cardiomyopathy.
- Clinical manifestations differ between males and females, with males typically experiencing earlier and more rapid disease progression.
Purpose of the Study:
- To present a case study of a young male with Danon disease.
- To illustrate the rapid progression of cardiac abnormalities in males with Danon disease.
- To document the echocardiographic changes over a two-year period.
Main Methods:
- Case report presentation.
- Echocardiographic imaging analysis.
- Clinical course documentation.
Main Results:
- The case demonstrates a young male with Danon disease.
- Echocardiographic images taken two years apart show significant cardiac changes.
- The findings are consistent with the typical rapid progression observed in males.
Conclusions:
- Danon disease necessitates close cardiac monitoring, especially in males.
- Rapid progression of cardiomyopathy can occur in young males.
- Echocardiography is crucial for tracking disease progression in Danon disease.
Abstract:
Danon disease is a rare X-linked multi-system lysosomal storage disorder. It may manifest as severe cardiomyopathy in affected individuals, with different clinical courses observed for men and women. Women may experience a hypertrophic or a dilated/hypokinetic phenotype irrespective of their disease stage. Men typically present earlier with progressive hypertrophy, and rapid regression of their hypertrophy with dilation and hypokinesis with onset of heart failure outcomes. In this case we demonstrate echocardiographic images of a young male taken just 2 years apart.
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