Severe heart disease in an unusual case of familial amyloid polyneuropathy type I

作者: Miguel Oliveira Santos , Dulce Brito

DOI: 10.1016/J.REPC.2013.02.011

关键词: Context (language use)DysautonomiaClinical trialLiver transplantationTransthyretinPathologyGenetic heterogeneityHeart diseaseCardiomyopathyMedicine

摘要: Familial amyloid polyneuropathy type I (FAP I) is a rare hereditary systemic amyloidosis caused by the Val30Met mutation in transthyretin (TTR) gene. The clinical onset and spectrum are variable depend on phenotypic heterogeneity. Cardiac complications (dysrhythmias conduction disturbances, cardiomyopathy dysautonomia) indicate poor prognosis, even after liver transplantation. We report an atypical case of FAP I, highlighting severe cardiac involvement its complications. Early diagnosis heart disease increasingly important context several trials promising new experimental drugs.

参考文章(40)
P. Eriksson, K. Boman, B. Jacobsson, B. O. Olofsson, Cardiac arrhythmias in familial amyloid polyneuropathy during anaesthesia. Acta Anaesthesiologica Scandinavica. ,vol. 30, pp. 317- 320 ,(1986) , 10.1111/J.1399-6576.1986.TB02422.X
P Eriksson, K Karp, P Bjerle, B O Olofsson, Disturbances of cardiac rhythm and conduction in familial amyloidosis with polyneuropathy. Heart. ,vol. 51, pp. 658- 662 ,(1984) , 10.1136/HRT.51.6.658
I. Cardoso, M. J. Saraiva, Doxycycline disrupts transthyretin amyloid: evidence from studies in a FAP transgenic mice model The FASEB Journal. ,vol. 20, pp. 234- 239 ,(2006) , 10.1096/FJ.05-4509COM
Bert-Ove Olofsson, Christer Backman, Kjell Karp, Ole B. Suhr, Progression of cardiomyopathy after liver transplantation in patients with familial amyloidotic polyneuropathy, Portuguese type. Transplantation. ,vol. 73, pp. 745- 751 ,(2002) , 10.1097/00007890-200203150-00015
O. B. Suhr, I. Anan, C. Backman, A. Karlsson, P. Lindqvist, S. Mörner, A. Waldenström, Do troponin and B-natriuretic peptide detect cardiomyopathy in transthyretin amyloidosis? Journal of Internal Medicine. ,vol. 263, pp. 294- 301 ,(2008) , 10.1111/J.1365-2796.2007.01888.X
Tom Pettersson, Yrjö T. Konttinen, Amyloidosis—Recent Developments Seminars in Arthritis and Rheumatism. ,vol. 39, pp. 356- 368 ,(2010) , 10.1016/J.SEMARTHRIT.2008.09.001
P LINDQVIST, B OLOFSSON, C BACKMAN, O SUHR, A WALDENSTROM, Pulsed tissue Doppler and strain imaging discloses early signs of infiltrative cardiac disease: a study on patients with familial amyloidotic polyneuropathy. European Journal of Echocardiography. ,vol. 7, pp. 22- 30 ,(2006) , 10.1016/J.EUJE.2005.03.004
Eduardo Coelho, J Cortez Pimentel, None, Cardiac involvement in a peculiar form of paramyloidosis∗ The American Journal of Cardiology. ,vol. 8, pp. 624- 632 ,(1961) , 10.1016/0002-9149(61)90365-4
Claudio Rapezzi, Candida C. Quarta, Pier Luigi Guidalotti, Cinzia Pettinato, Stefano Fanti, Ornella Leone, Alessandra Ferlini, Simone Longhi, Massimiliano Lorenzini, Letizia Bacchi Reggiani, Christian Gagliardi, Pamela Gallo, Caterina Villani, Fabrizio Salvi, Role of 99mTc-DPD Scintigraphy in Diagnosis and Prognosis of Hereditary Transthyretin-Related Cardiac Amyloidosis Jacc-cardiovascular Imaging. ,vol. 4, pp. 659- 670 ,(2011) , 10.1016/J.JCMG.2011.03.016
Masao Tanaka, Minoru Hongo, Osamu Kinoshita, Yasuki Takabayashi, Tadashige Fujii, Yoshikazu Yazaki, Mitsuaki Isobe, Morie Sekiguchi, Iodine-123 metaiodobenzylguanidine scintigraphic assessment of myocardial sympathetic innervation in patients with familial amyloid polyneuropathy. Journal of the American College of Cardiology. ,vol. 29, pp. 168- 174 ,(1997) , 10.1016/S0735-1097(96)00438-X