Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-26T20:52:07.643Z Has data issue: false hasContentIssue false

Transient left bundle branch block and left ventricular dysfunction in a patient with NLRP1-associated autoinflammation with arthritis and dyskeratosis syndrome

Published online by Cambridge University Press:  25 January 2019

Mark R. Garrelfs*
Affiliation:
Department of Pediatric Cardiology, Radboud University Medical Centre, Nijmegen, The Netherlands
Esther Hoppenreijs
Affiliation:
Department of Pediatric Rheumatology, Radboud University Medical Centre, Nijmegen, The Netherlands
Ronald B. Tanke
Affiliation:
Department of Pediatric Cardiology, Radboud University Medical Centre, Nijmegen, The Netherlands
*
Author for correspondence: Garrelfs MR, Department of Pediatric Cardiology, Radboud University Medical Centre, Nijmegen, The Netherlands. E-mail: Mark.garrelfs@radboudumc.nl

Abstract

The NLRP1-associated autoinflammation with arthritis and dyskeratosis syndrome is a rare novel autoinflammatory disorder. Cardiac involvement has not been previously reported. We present a 12-year-old girl with NLRP1-associated autoinflammation with arthritis and dyskeratosis syndrome who was diagnosed with severely impaired left ventricular function and complete left bundle branch block during an exacerbation of the disease. Cardiac dysfunction proved to be rapidly reversible after initiation of high-dose methylprednisolone.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Cite this article: Garrelfs MR, Hoppenreijs E, Tanke RB. (2019) Transient left bundle branch block and left ventricular dysfunction in a patient with NLRP1-associated autoinflammation with arthritis and dyskeratosis syndrome. Cardiology in the Young29: 435–438. doi: 10.1017/S1047951118002342

References

1. Grandemange, S, Sanchez, E, Louis-Plence, P, et al. A new autoinflammatory and autoimmune syndrome associated with NLRP1 mutations: NAIAD (NLRP1-associated autoinflammation with arthritis and dyskeratosis). Ann Rheum Dis 2017; 76: 11911198.10.1136/annrheumdis-2016-210021Google Scholar
2. Tissot, C, Singh, Y, Sekarski, N. Echocardiographic evaluation of ventricular function—for the neonatologist and pediatric intensivist. Front Pediatr 2018; 6: 79.Google Scholar
3. Comarmond, C, Cacoub, P. Myocarditis in auto-immune or auto-inflammatory diseases. Autoimmun Rev 2017; 16: 811816.Google Scholar
4. Rich, MM, McGarvey, ML, Teener, JW, et al. ECG changes during septic shock. Cardiology 2002; 97: 187196.Google Scholar
5. Mann, DL. Innate immunity and the failing heart: the cytokine hypothesis revisited. Circ Res 2015; 116: 12541268.10.1161/CIRCRESAHA.116.302317Google Scholar
6. Sergi, C, Shen, F, Lim, DW, et al. Cardiovascular dysfunction in sepsis at the dawn of emerging mediators. Biomed Pharmacother 2017; 95: 153160.Google Scholar
7. Novick, D, Kim, S, Kaplanski, G, et al. Interleukin-18, more than a Th1 cytokine. Semin Immunol 2013; 25: 439448.Google Scholar
8. Raeburn, CD, Dinarello, CA, Zimmerman, MA, et al. Neutralization of IL-18 attenuates lipopolysaccharide-induced myocardial dysfunction. Am J Physiol Heart Circ Physiol 2002, pp 650657.Google Scholar
9. Pomerantz, BJ1, Reznikov, LL, Harken, AH, et al. Inhibition of caspase 1 reduces human myocardial ischemic dysfunction via inhibition of IL-18 and IL-1beta. Proc Natl Acad Sci USA 2001; 98: 28712876.Google Scholar
10. Hedayat, M1, Mahmoudi, MJ, Rose, NR, et al. Proinflammatory cytokines in heart failure: double-edged swords. Heart Fail Rev 2010; 15: 543562.Google Scholar

Garrelfs et al. supplementary material

Garrelfs et al. supplementary material 1

Download Garrelfs et al. supplementary material(Video)
Video 338.4 KB

Garrelfs et al. supplementary material

Garrelfs et al. supplementary material 2

Download Garrelfs et al. supplementary material(Video)
Video 705.9 KB

Garrelfs et al. supplementary material

Garrelfs et al. supplementary material 3

Download Garrelfs et al. supplementary material(Video)
Video 725.9 KB
Supplementary material: File

Garrelfs et al. supplementary material

Garrelfs et al. supplementary material 4

Download Garrelfs et al. supplementary material(File)
File 10.5 KB