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Fulminant myocarditis following recurrent generalized erythrokeratoderma in a child with a heterozygous GJA1 variant
Authors:Hironobu Kobayashi  Tadashi Shiohama  Mitsuko Nakashima  Hirotomo Saitsu  Yasushi Suga  Ryota Ebata  Naoki Shimojo
Institution:1. Department of Pediatrics, Graduate School of Medicine, Chiba University, Chiba, Japan;2.
Abstract:Pathogenic germline variants in the gap junction protein alpha 1 (GJA1) gene have been identified in several congenital disorders affecting cutaneous, skeletal, and cardiac tissues. Here, we describe a 12‐year‐old patient with a GJA1 c.113G>A, p.(Gly38Glu) variant, who presented with fulminant myocarditis following recurrent generalized erythrokeratoderma. His mother and younger sister had the same clinical manifestations with the same GJA1 variant, but did not have cardiac dysfunction. GJA1 variants have been reported in patients with congenital cardiac malformations, while acute myocarditis in GJA1‐related disorders has not been reported so far.
Keywords:erythrokeratoderma  fulminant myocarditis  gap junction protein alpha 1  hyperostosis  hypotrichosis
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