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Dilated cardiomyopathy-hypergonadotropic hypogonadism syndrome

MedGen UID:
162901
Concept ID:
C0796031
Disease or Syndrome
Synonyms: Cardiogenital syndrome; CARDIOMYOPATHY WITH PRIMARY TESTICULAR FAILURE; CARDIOMYOPATHY, CONGESTIVE, WITH HYPERGONADOTROPIC HYPOGONADISM; CARDIOMYOPATHY, DILATED, WITH HYPERGONADOTROPIC HYPOGONADISM; CARDIOMYOPATHY, DILATED, WITH PREMATURE OVARIAN FAILURE; Congestive cardiomyopathy-hypergonadotropic hypogonadism syndrome; Congestive or dilated cardiomyopathy with hypergonadotropic hypogonadism; Familial cardiomyopathy, hypogonadism, and collagenoma; Genital anomaly with cardiomyopathy; Malouf syndrome; Najjar syndrome
SNOMED CT: Malouf syndrome (719451006)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
 
Gene (location): LMNA (1q22)
 
Monarch Initiative: MONDO:0008915
OMIM®: 212112
Orphanet: ORPHA2229

Definition

This syndrome is characterized by the association of dilated cardiomyopathy and hypergonadotropic hypogonadism (DCM-HH). [from ORDO]

Clinical features

From HPO
Primary dilated cardiomyopathy
MedGen UID:
2880
Concept ID:
C0007193
Disease or Syndrome
Familial dilated cardiomyopathy is a genetic form of heart disease. It occurs when heart (cardiac) muscle becomes thin and weakened in at least one chamber of the heart, causing the open area of the chamber to become enlarged (dilated). As a result, the heart is unable to pump blood as efficiently as usual. To compensate, the heart attempts to increase the amount of blood being pumped through the heart, leading to further thinning and weakening of the cardiac muscle. Over time, this condition results in heart failure.\n\nIt usually takes many years for symptoms of familial dilated cardiomyopathy to cause health problems. They typically begin in mid-adulthood, but can occur at any time from infancy to late adulthood. Signs and symptoms of familial dilated cardiomyopathy can include an irregular heartbeat (arrhythmia), shortness of breath (dyspnea), extreme tiredness (fatigue), fainting episodes (syncope), and swelling of the legs and feet. In some cases, the first sign of the disorder is sudden cardiac death. The severity of the condition varies among affected individuals, even in members of the same family.
Mitral regurgitation
MedGen UID:
7670
Concept ID:
C0026266
Disease or Syndrome
An abnormality of the mitral valve characterized by insufficiency or incompetence of the mitral valve resulting in retrograde leaking of blood through the mitral valve upon ventricular contraction.
Cardiomyopathy
MedGen UID:
209232
Concept ID:
C0878544
Disease or Syndrome
A myocardial disorder in which the heart muscle is structurally and functionally abnormal, in the absence of coronary artery disease, hypertension, valvular disease and congenital heart disease sufficient to cause the observed myocardial abnormality.
Microtia
MedGen UID:
57535
Concept ID:
C0152423
Congenital Abnormality
Underdevelopment of the external ear.
Intellectual disability
MedGen UID:
811461
Concept ID:
C3714756
Mental or Behavioral Dysfunction
Intellectual disability, previously referred to as mental retardation, is characterized by subnormal intellectual functioning that occurs during the developmental period. It is defined by an IQ score below 70.
Lipodystrophy
MedGen UID:
6111
Concept ID:
C0023787
Disease or Syndrome
Degenerative changes of the fat tissue.
Osteopenia
MedGen UID:
18222
Concept ID:
C0029453
Disease or Syndrome
Osteopenia is a term to define bone density that is not normal but also not as low as osteoporosis. By definition from the World Health Organization osteopenia is defined by bone densitometry as a T score -1 to -2.5.
Retrognathia
MedGen UID:
19766
Concept ID:
C0035353
Congenital Abnormality
An abnormality in which the mandible is mislocalised posteriorly.
Finger joint contracture
MedGen UID:
575400
Concept ID:
C0343146
Acquired Abnormality
Lack of full passive range of motion (restrictions in flexion, extension, or other movements) of a finger joint resulting from structural changes of non-bony tissues, such as muscles, tendons, ligaments, joint capsules and/or skin.
Recurrent shoulder dislocation
MedGen UID:
592396
Concept ID:
C0409415
Injury or Poisoning
Shoulder dislocation occurring repeated times.
Short clavicles
MedGen UID:
96529
Concept ID:
C0426799
Congenital Abnormality
Reduced length of the clavicles.
Down-sloping shoulders
MedGen UID:
346461
Concept ID:
C1856872
Finding
Low set, steeply sloping shoulders.
Narrow nose
MedGen UID:
98086
Concept ID:
C0426422
Finding
Interalar distance more than 2 SD below the mean for age, or alternatively, an apparently decreased width of the nasal base and alae.
Short chin
MedGen UID:
784514
Concept ID:
C3697248
Finding
Decreased vertical distance from the vermilion border of the lower lip to the inferior-most point of the chin.
Sclerodactyly
MedGen UID:
472893
Concept ID:
C0150988
Disease or Syndrome
Localized thickening and tightness of the skin of the fingers or toes.
Poikiloderma
MedGen UID:
97905
Concept ID:
C0392777
Disease or Syndrome
Poikiloderma refers to a patch of skin with (1) reticulated hypopigmentation and hyperpigmentation, (2) wrinkling secondary to epidermal atrophy, and (3) telangiectasias.
Poor wound healing
MedGen UID:
377525
Concept ID:
C1851789
Finding
A reduced ability to heal cutaneous wounds.
Telangiectasia of the skin
MedGen UID:
867629
Concept ID:
C4022018
Finding
Presence of small, permanently dilated blood vessels near the surface of the skin, visible as small focal red lesions.
Hypergonadotropic hypogonadism
MedGen UID:
184926
Concept ID:
C0948896
Disease or Syndrome
Reduced function of the gonads (testes in males or ovaries in females) associated with excess pituitary gonadotropin secretion and resulting in delayed sexual development and growth delay.
Ptosis
MedGen UID:
2287
Concept ID:
C0005745
Disease or Syndrome
The upper eyelid margin is positioned 3 mm or more lower than usual and covers the superior portion of the iris (objective); or, the upper lid margin obscures at least part of the pupil (subjective).

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDilated cardiomyopathy-hypergonadotropic hypogonadism syndrome
Follow this link to review classifications for Dilated cardiomyopathy-hypergonadotropic hypogonadism syndrome in Orphanet.

Recent clinical studies

Etiology

Glezer A, Santana MR, Bronstein MD, Donato J Jr, Jallad RS
Front Endocrinol (Lausanne) 2022;13:1018090. Epub 2023 Jan 10 doi: 10.3389/fendo.2022.1018090. PMID: 36704037Free PMC Article
Groti Antonič K, Antonič B, Žuran I, Pfeifer M
Aging Male 2020 Dec;23(5):1442-1454. Epub 2020 Aug 26 doi: 10.1080/13685538.2020.1793132. PMID: 32844712
Pasquali D, Arcopinto M, Renzullo A, Rotondi M, Accardo G, Salzano A, Esposito D, Saldamarco L, Isidori AM, Marra AM, Ruvolo A, Napoli R, Bossone E, Lenzi A, Baliga RR, Saccà L, Cittadini A
Int J Cardiol 2013 Sep 30;168(2):754-9. Epub 2012 Oct 23 doi: 10.1016/j.ijcard.2012.09.215. PMID: 23092857
Foresta C, Caretta N, Palego P, Ferlin A, Zuccarello D, Lenzi A, Selice R
Int J Androl 2012 Oct;35(5):720-5. Epub 2012 Apr 10 doi: 10.1111/j.1365-2605.2012.01269.x. PMID: 22489599
Marshall JD, Beck S, Maffei P, Naggert JK
Eur J Hum Genet 2007 Dec;15(12):1193-202. Epub 2007 Oct 17 doi: 10.1038/sj.ejhg.5201933. PMID: 17940554

Diagnosis

Glezer A, Santana MR, Bronstein MD, Donato J Jr, Jallad RS
Front Endocrinol (Lausanne) 2022;13:1018090. Epub 2023 Jan 10 doi: 10.3389/fendo.2022.1018090. PMID: 36704037Free PMC Article
Tsang SH, Aycinena ARP, Sharma T
Adv Exp Med Biol 2018;1085:179-180. doi: 10.1007/978-3-319-95046-4_35. PMID: 30578508
Foresta C, Caretta N, Palego P, Ferlin A, Zuccarello D, Lenzi A, Selice R
Int J Androl 2012 Oct;35(5):720-5. Epub 2012 Apr 10 doi: 10.1111/j.1365-2605.2012.01269.x. PMID: 22489599
Marshall JD, Beck S, Maffei P, Naggert JK
Eur J Hum Genet 2007 Dec;15(12):1193-202. Epub 2007 Oct 17 doi: 10.1038/sj.ejhg.5201933. PMID: 17940554
Maffei P, Munno V, Marshall JD, Scandellari C, Sicolo N
Ann Ital Med Int 2002 Oct-Dec;17(4):221-8. PMID: 12532560

Therapy

Groti Antonič K, Antonič B, Žuran I, Pfeifer M
Aging Male 2020 Dec;23(5):1442-1454. Epub 2020 Aug 26 doi: 10.1080/13685538.2020.1793132. PMID: 32844712
Groti K, Žuran I, Antonič B, Foršnarič L, Pfeifer M
Aging Male 2018 Sep;21(3):158-169. Epub 2018 Apr 30 doi: 10.1080/13685538.2018.1468429. PMID: 29708829
Doğan BA, Karakılıç E, Tuna MM, Arduç A, Berker D, Güler S
Clin Endocrinol (Oxf) 2015 Mar;82(3):422-8. Epub 2014 Nov 5 doi: 10.1111/cen.12617. PMID: 25280063
Tegtmeyer LC, Rust S, van Scherpenzeel M, Ng BG, Losfeld ME, Timal S, Raymond K, He P, Ichikawa M, Veltman J, Huijben K, Shin YS, Sharma V, Adamowicz M, Lammens M, Reunert J, Witten A, Schrapers E, Matthijs G, Jaeken J, Rymen D, Stojkovic T, Laforêt P, Petit F, Aumaître O, Czarnowska E, Piraud M, Podskarbi T, Stanley CA, Matalon R, Burda P, Seyyedi S, Debus V, Socha P, Sykut-Cegielska J, van Spronsen F, de Meirleir L, Vajro P, DeClue T, Ficicioglu C, Wada Y, Wevers RA, Vanderschaeghe D, Callewaert N, Fingerhut R, van Schaftingen E, Freeze HH, Morava E, Lefeber DJ, Marquardt T
N Engl J Med 2014 Feb 6;370(6):533-42. doi: 10.1056/NEJMoa1206605. PMID: 24499211Free PMC Article
Dokras A, Jagasia DH, Maifeld M, Sinkey CA, VanVoorhis BJ, Haynes WG
Fertil Steril 2006 Dec;86(6):1702-9. Epub 2006 Oct 24 doi: 10.1016/j.fertnstert.2006.05.038. PMID: 17067587

Prognosis

Gersak K, Strgulc M, Gorjup V, Dolenc-Strazar Z, Jurcic V, Penny DJ, Fan Y
Mol Med Rep 2013 Nov;8(5):1311-4. Epub 2013 Sep 5 doi: 10.3892/mmr.2013.1669. PMID: 24008991
Guaraldi G, Beggi M, Zona S, Luzi K, Orlando G, Carli F, Ligabue G, Rochira V, Rossi R, Modena MG, Bouloux P
J Sex Med 2012 Apr;9(4):1114-21. Epub 2011 Apr 7 doi: 10.1111/j.1743-6109.2011.02243.x. PMID: 21477014
Graul-Neumann LM, Kienitz T, Robinson PN, Baasanjav S, Karow B, Gillessen-Kaesbach G, Fahsold R, Schmidt H, Hoffmann K, Passarge E
Am J Med Genet A 2010 Nov;152A(11):2749-55. doi: 10.1002/ajmg.a.33690. PMID: 20979188
Marshall JD, Beck S, Maffei P, Naggert JK
Eur J Hum Genet 2007 Dec;15(12):1193-202. Epub 2007 Oct 17 doi: 10.1038/sj.ejhg.5201933. PMID: 17940554
Hoffman JD, Jacobson Z, Young TL, Marshall JD, Kaplan P
Am J Med Genet A 2005 May 15;135(1):96-8. doi: 10.1002/ajmg.a.30688. PMID: 15809999

Clinical prediction guides

Gowans LJJ, Al Dhaheri N, Li M, Busch T, Obiri-Yeboah S, Oti AA, Sabbah DK, Arthur FKN, Awotoye WO, Alade AA, Twumasi P, Agbenorku P, Plange-Rhule G, Naicker T, Donkor P, Murray JC, Sobreira NLM, Butali A
Mol Genet Genomic Med 2021 Apr;9(4):e1655. Epub 2021 Mar 14 doi: 10.1002/mgg3.1655. PMID: 33719213Free PMC Article
Groti Antonič K, Antonič B, Žuran I, Pfeifer M
Aging Male 2020 Dec;23(5):1442-1454. Epub 2020 Aug 26 doi: 10.1080/13685538.2020.1793132. PMID: 32844712
Collin GB, Cyr E, Bronson R, Marshall JD, Gifford EJ, Hicks W, Murray SA, Zheng QY, Smith RS, Nishina PM, Naggert JK
Hum Mol Genet 2005 Aug 15;14(16):2323-33. Epub 2005 Jul 6 doi: 10.1093/hmg/ddi235. PMID: 16000322Free PMC Article
Marshall JD, Bronson RT, Collin GB, Nordstrom AD, Maffei P, Paisey RB, Carey C, Macdermott S, Russell-Eggitt I, Shea SE, Davis J, Beck S, Shatirishvili G, Mihai CM, Hoeltzenbein M, Pozzan GB, Hopkinson I, Sicolo N, Naggert JK, Nishina PM
Arch Intern Med 2005 Mar 28;165(6):675-83. doi: 10.1001/archinte.165.6.675. PMID: 15795345
Maffei P, Munno V, Marshall JD, Scandellari C, Sicolo N
Ann Ital Med Int 2002 Oct-Dec;17(4):221-8. PMID: 12532560

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