National Center for Advancing and Translational Sciences Genetic and Rare Diseases Information Center, a program of the National Center for Advancing and Translational Sciences

Dilated cardiomyopathy with hypergonadotropic hypogonadism



Could you tell me some of the symptoms of dilated cardiomyopathy with hypergonadotropic hypogonadism? How many of these particular symptoms are required for a positive diagnosis to be established?  Are the criteria for diagnosis different for children than adults?


What is dilated cardiomyopathy with hypergonadotropic hypogonadism?

Dilated cardiomyopathy with hypergonadotropic hypogonadism (DCMHH) is a condition that primarily affects the heart and gonads (male testes or female ovaries). It is characterized by a disease of the heart muscle (dilated cardiomyopathy) and little or no production of sex hormones due to a problem with the pituitary gland or hypothalamus (hypergonadotropic hypogonadism). Other symptoms might include: characteristic facial features, intellectual disability, mild skeletal anomalies, and abnormalities of the metabolic system.[1][2] Some cases of DCMHH are caused by mutations in the LMNA gene.[3] Both autosomal dominant and autosomal recessive inheritance patterns have been described.[1][2] Although there is no specific treatment or cure for DCMHH, there are ways to manage the symptoms. A team of doctors or specialists is often needed to figure out the treatment options for each person.
Last updated: 8/15/2016

How is dilated cardiomyopathy with hypergonadotropic hypogonadism (DCMHH) diagnosed?

There are no established diagnostic criteria for DCMHH. The diagnosis is made based on findings of characteristic signs and symptoms. The diagnosis might be confirmed with genetic testing, including analysis of the LMNA gene.[3]
Last updated: 8/15/2016

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  1. Victor A. McKusick. Dilated cardiomyopathy and hypergonadotropic hypogonadism. In: Marla J. F. O'Neill. OMIM. 2010; http://omim.org/entry/212112. Accessed 8/15/2016.
  2. Dilated cardiomyopathy-hypergonadotropic hypogonadism syndrome. Orphanet. May 2009; http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Expert=2229. Accessed 8/15/2016.
  3. McPherson E, Turner L, Zador I, Reynolds K, Macgregor D, Giampietro PF. Ovarian failure and dilated cardiomyopathy due to a novel lamin mutation. Am J Med Genet A. Feb 15, 2009; 149A(4):567-72. http://www.ncbi.nlm.nih.gov/pubmed/19283854.