In 1 family the proband initially presented with HCM as a teenager, which progressed to dilated cardiomyopathy (DCM) and heart failure. Skeletal myopathy and WPW were also noted. [ncbi.nlm.nih.gov]

The age of presentation is somewhat variable. The greatest factor that affects the age at presentation is the patient's sex. The age at presentation can range from infancy to the second decade in males but is less well defined in females. [flipper.diff.org]

[…] myopathy on muscle biopsy. 19 Female patients generally present later in childhood or early adulthood and have a more protracted course. [circheartfailure.ahajournals.org]

As muscular weakness and delayed cognitive development are initially difficult to identify, the correct diagnosis is often not made until cardiac symptoms present. [ldnz.org.nz]

• Plethora

  The rearrangement results in a plethora of abnormal LAMP2 splicing variants and also in use of likely cryptic splice sites in the 3' terminus of LAMP2 gene. [ncbi.nlm.nih.gov]

• Cardiomegaly

  A chest X-ray showed cardiomegaly with massive pulmonary congestion. Transthoracic echocardiography demonstrated biventricular symmetrical concentric hypertrophy without left and right outflow tract gradient. [revespcardiol.org]

  […] retardation Mental-retardation [ more ] 0001249 Muscle flaccidity 0010547 Percent of people who have these symptoms is not available through HPO Arrhythmia Abnormal heart rate Heart rhythm disorders Irregular heart beat Irregular heartbeat [ more ] 0011675 Cardiomegaly [rarediseases.info.nih.gov]

  Autopsy or explant specimens examined at the time of transplantation reveal cardiomegaly with ventricular hypertrophy and biatrial and biventricular dilatation. [flipper.diff.org]

  Our patients showed the full spectrum of both prenatal signs (hydrops, polyhydramnios) and postnatal signs (hypotonia, hyporeflexia, absence of active movements, cardiomegaly), which have been reported previously. [link.springer.com]

  It was initially described by Danon MJ in 1981, who described two 16-year-old men with mental retardation, cardiomegaly, and proximal skeletal myopathy, in whom they demonstrated accumulation of glycogen in their muscles without alterations in the enzymes [scielo.org.mx]

• Proximal Muscle Weakness

  We describe two patients: the first patient presented with severe hypertrophic cardiomyopathy, Wolff-Parkinson-White syndrome, proximal muscle weakness, and chronic painless diarrhea; the second patient manifested as limb-girdle muscle weakness, mild [ncbi.nlm.nih.gov]

  Pes cavus High-arched foot 0001761 Proximal muscle weakness Weakness in muscles of upper arms and upper legs 0003701 Visual impairment Impaired vision Loss of eyesight Poor vision [ more ] 0000505 Wolff-Parkinson-White syndrome 0001716 X-linked dominant [rarediseases.info.nih.gov]

  Myopathy Skeletal myopathy manifests as progressive proximal muscle weakness of the shoulders, neck, and legs 1 in 80% to 90% of men. 16, 25 Weakness is seldom debilitating, and patients usually retain the ability to walk as adults. [circheartfailure.ahajournals.org]

• Diffuse Muscle Wasting

  On neurological examination, he complained of visual loss, and diffuse muscle wasting and weakness were also unexpectedly noted. Electromyography evidenced a myopathic pattern and a peripheral neuropathy. [ncbi.nlm.nih.gov]

Early involvement of electrophysiology and early consideration of ICD implantation for symptomatic arrhythmias Skeletal myopathy Formal neuromuscular evaluation Physical therapy and rehabilitation Muscle biopsy may be performed as part of diagnostic workup [circheartfailure.ahajournals.org]

Examinations performed before and during treatment included visual acuity (VA), spectral-domain optical coherence tomography, and electroretinography. Following total 48 weeks of treatment, VA decreased from 20/30 OD, 20/200 OS, to 20/40 OD, CF OS. [ncbi.nlm.nih.gov]

Treatment: There is no specific treatment for this disorder. Treatment is based specifically on any present symptoms and also aims to provide support in the care of the individual. Most treatment is based on heart problems related to this disorder. [medigoo.com]

Treatment Treatment Options: No known treatment is available for the ocular disease. Transplantation can be an effective treatment for the cardiomyopathy which can be lethal even in adolescents. [disorders.eyes.arizona.edu]

Eye exam LAMP2 gene testing Treatment There is no approved treatment for Danon disease. Treatment is directed toward the specific symptoms that are apparent in each individual and specific myopathies. [raredr.com]

Initially, immunosuppression was modified (treatment with mycophenolic acid 900 mg/d was discontinued, whereas treatment with tacrolimus 2.5 mg/d was unchanged), and the patient received a total of 4 doses of rituximab weekly without sufficient response [journals.lww.com]

Female patients most often present with late-onset cardiomyopathy and slow disease progression, but early-onset cases with unfavorable prognosis have been reported. [ncbi.nlm.nih.gov]

Prognosis Patients are at risk of sudden death due to arrhythmia during early adulthood. The documents contained in this web site are presented for information purposes only. [orpha.net]

To distinguish sarcomeric HCM from Danon’s disease is important, as the pathophysiology, clinical evolution, prognosis, mode of inheritance, and therefore genetic counselling are very different As a first step, all patients with HCM should be considered [escardio.org]

Given the poor prognosis associated with cardiomyopathy due to LAMP2 mutation, early diagnosis is critical for determining the appropriate treatment strategy and achieving timely cardiac transplantation, the only effective therapeutic option. [revespcardiol.org]

In this study, we report details of the clinical Danon disease phenotype and prognosis based on data from 82 individuals from 36 families with Danon disease that contacted our group. [nature.com]

KEYWORDS: Cardiomyopathy, hypertrophic/diagnosis; defibrillators, implantable; glycogen storage cardiomyopathy; glycogen storage disease type IIb/diagnosis; hypertrophic cardiomyopathy/diagnosis; left ventricular hypertrophy/etiology; lysosomal storage [ncbi.nlm.nih.gov]

Etiology The disease is caused by mutations in the LAMP2 gene, localised to Xq24. The LAMP2 protein is an essential component of the lysosomal membrane and appears to play a role in autophagosome-lysosome fusion. [orpha.net]

Keywords : Autophagy, neurodegenerative disorders, neurodevelopmental disorders, psychiatric disorders, etiology, treatment mechanism Important Note : All contributions to this Research Topic must be within the scope of the section and journal to which [frontiersin.org]

The etiology of the disease is associated with mutations in the LAMP2 gene on chromosome X. To date, only mutations in the LAMP2 gene have been associated with the disease. [scielo.org.mx]

Summary Epidemiology More than 20 families have been described in the literature so far. Clinical description The disease classically manifests in males over 10 years of age. [orpha.net]

Conclusions: Danon disease requires further studies in order to obtain epidemiological data for this condition. To date, only mutations in the LAMP2 gene have been documented as the main etiology of Danon disease. [scielo.org.mx]

EPIDEMIOLOGY The incidence of Danon Disease has not been determined. HCM is estimated to be present in 2 of every 1000 young adults, according to one large study. Charron et al. examined 197 independent index cases with HCM. [flipper.diff.org]

[…] to the late-onset cases that can occur, may result from an uneven distribution of LAMP2 protein in cardiac muscle, with the protein lacking in some large portions of the muscle, while its expression is preserved in other large myocardial areas. [7] Epidemiology [emedicine.medscape.com]

Epidemiology The prevalence of Danon disease is unknown, and as cases have been described around the world, it can likely affect any ethnic group. 5 The observed prevalence may be rising because of increased detection from wider availability of LAMP2 [circheartfailure.ahajournals.org]

However, the precise pathophysiological mechanism through which LAMP-2 deficiency causes Danon disease is still not fully understood and its elucidation would promote the development of new therapies. [ncbi.nlm.nih.gov]

These models will be validated by determining their distinct pathophysiologic characteristics in comparison to those from both Danon patients and wild type controls. [grantome.com]

The rapid advances from genetic discovery to and understanding of pathophysiology to treatment development ensures that additional studies in rare genetic conditions will shortly be arriving on the scene. Matthew R. G. [ucdenver.edu]

Abstract We report the case of an 18-year-old man with Danon disease, a genetic disorder inclunding a severe hypertrophic cardiomyopathy with very broad QRS, who had an implantable cardioverter defibrillator for primary prevention. [ncbi.nlm.nih.gov]

[…] features are possibly due to reduced membrane proliferation and vesicular movement in the overcrowded muscle fibers of Pompe disease, and to the membrane remodelling occurring only in patients with late-onset GSDII, which would be a protective mechanism to prevent [research.unipd.it]

Other affected males have dilated cardiomyopathy, which is a condition that weakens and enlarges the heart, preventing it from pumping blood efficiently. Some affected men with hypertrophic cardiomyopathy later develop dilated cardiomyopathy. [ghr.nlm.nih.gov]

What if I am asked to sign an agreement that prevents me from reporting my concerns directly to the SEC? Such an agreement may violate the federal securities laws. [sec.gov]