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Atypical coronary artery aneurysms due to Kawasaki disease in Noonan syndrome with a novel PTPN11 mutation

Published online by Cambridge University Press:  04 December 2018

Shiori Takai
Affiliation:
Department of Pediatrics and Developmental Biology, Tokyo Medical and Dental University, Tokyo, Japan
Kei Takasawa*
Affiliation:
Department of Pediatrics and Developmental Biology, Tokyo Medical and Dental University, Tokyo, Japan Department of Pediatrics, Kawaguchi Municipal Medical Center, Kawaguchi, Japan
Shozaburo Doi
Affiliation:
Department of Community Pediatrics, Perinatal and Maternal Medicine, Tokyo Medical and Dental University, Tokyo, Japan
*
Author for correspondence: K. Takasawa, MD PhD, Department of Pediatrics and Developmental Biology, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8510, Japan. Tel: +81-3-5803-5249, Fax: +81-3-5803-5246; E-mail: ktakasawa.ped@tmd.ac.jp

Abstract

We report a 3-year-old boy with giant and atypical coronary artery aneurysms in the acute phase of Kawasaki disease, despite appropriate therapeutic intervention, in Noonan syndrome with a novel heterozygous PTPN11 mutation, c. 907 G>A (p.Asp303Asn). We hypothesised that this PTPN11 mutation might affect both hyperinflammation caused by Kawasaki disease and vascular fragility in the coronary artery, resulting in coronary artery aneurysms.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

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Footnotes

Cite this article: Takai S, Takasawa K, Doi S. (2018) Atypical coronary artery aneurysms due to Kawasaki disease in Noonan syndrome with a novel PTPN11 mutation. Cardiology in the Young page 228 of 230. doi: 10.1017/S1047951118001877

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