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Case Report: The first probable Hong Kong Chinese case of LPIN1-related acute recurrent rhabdomyolysis in a boy with two novel variants.


ABSTRACT: Recurrent rhabdomyolysis is frequently ascribed to fatty acid ß-oxidation defects, mitochondrial respiratory chain disorders and glycogen storage-related diseases. In recent years, autosomal recessive LPIN1 mutations have been identified as a prevailing cause of severe rhabdomyolysis in children in Western countries. We report the first probable Hong Kong Chinese case of recurrent severe rhabdomyolysis in early childhood caused by LPIN1 variants. Compound heterozygous novel variants NM_145693.2(LPIN1):c.[1949_1967dupGTGTCACCACGCAGTACCA]; [2410G>C] (p.[Gly657Cysfs*12];[Asp804His]) were detected. The former variant was classified as likely pathogenic while the latter variant was classified as a variant of uncertain significance (VUS) based on the guideline published by the American College of Medical Genetics and Genomics (ACMG) in 2015. Although the genetic findings were inconclusive, the patient's presentation was compatible with LPIN1-related acute recurrent rhabdomyolysis, and the patient was treated as such. The early recognition, timely diagnosis and management of this condition are important to avoid fatal consequences. To our knowledge, there has been no previous report in the English-language literature of a child with Chinese ethnicity and LPIN1-related acute recurrent rhabdomyolysis (MIM #268200).  Functional characterization of the novel variants detected in this study are warranted in future studies.

SUBMITTER: Yim SW 

PROVIDER: S-EPMC6823901 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Case Report: The first probable Hong Kong Chinese case of <i>LPIN1</i>-related acute recurrent rhabdomyolysis in a boy with two novel variants.

Yim Sau Wing SW   Chan Tina Yee Ching TYC   Belaramani Kiran M KM   Man Sze Shun SS   Wong Felix Chi Kin FCK   Chen Sammy Pak Lam SPL   Lee Hencher Han Chih HHC   Mak Chloe Miu CM   Ching Chor Kwan CK  

F1000Research 20190902


Recurrent rhabdomyolysis is frequently ascribed to fatty acid ß-oxidation defects, mitochondrial respiratory chain disorders and glycogen storage-related diseases. In recent years, autosomal recessive <i>LPIN1</i> mutations have been identified as a prevailing cause of severe rhabdomyolysis in children in Western countries. We report the first probable Hong Kong Chinese case of recurrent severe rhabdomyolysis in early childhood caused by <i>LPIN1</i> variants. Compound heterozygous novel variant  ...[more]

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