Clinical case of neonatal lupus with cartilaginous metaplasia, fibrosis and calcification of the atrioventricular node zone
https://doi.org/10.35336/VA-2023-2-10
EDN: VZVVWP
Abstract
Neonatal lupus is a rare disease associated with the circulation in the mother’s blood of one or more autoantibodies to soluble intracellular ribonucleoproteins Ro/SS-A and La/SS-B. This disease is extremely often manifested by congenital heart block, which can progress even after the birth of a child. We have described a case of fibrosis, calcification and cartilaginous metaplasia of the atrioventricular node zone, which caused complete atrioventricular block in a child who died from neonatal lupus.
About the Authors
D. A. DavydovRussian Federation
6-8 Lev Tolstoy str
I. A. Makarov
Russian Federation
Saint-Petersburg, 2 Akkuratova str.
A. A. Morozov
Russian Federation
Saint-Petersburg, 2 Akkuratova str.
T. A. Makarova
Russian Federation
Saint-Petersburg, 2 Akkuratova str.
L. B. Mitrofanova
Russian Federation
Saint-Petersburg, 2 Akkuratova str.
References
1. Østensen M, Villiger PM, Förger F. Interaction of pregnancy and autoimmune rheumatic disease. Autoimmun Rev. 2012;11(6-7): A437-46. https://doi.org/10.1016/j.autrev.2011.11.013.
2. Clancy RM, Buyon JP. More to death than dying: apoptosis in the pathogenesis of SSA/Ro-SSB/La-associated congenital heart block. Rheum Dis Clin North Am. 2004;30(3):589-602. https://doi.org/10.1016/j.rdc.2004.04.013.
3. Sato Y, Yamaguchi T, Muraoka J, Taniguchi H, et al. C4d Deposition in Fetal Vessels of the Placenta in Neonatal Lupus Syndrome. Case Rep Obstet Gynecol. 2019;2019: 5863476. https://doi.org/10.1155/2019/5863476.
4. Capone C, Buyon JP, Friedman DM, et al. Cardiac manifestations of neonatal lupus: a review of autoantibody-associated congenital heart block and its impact in an adult population. Cardiol Rev. 2012;20(2): 72-6. https://doi.org/10.1097/CRD.0b013e31823c808b.
5. Piercecchi-Marti MD, Mohamed H, Chau C, et al. Congenital atrioventricular block: Histological aspects. Forensic Science International. 2003;136(1-3): 12-15. https://doi.org/10.1016/s0379-0738(03)00224-x
6. Kovalev IA, Belozerov YuM, Sadykova DI, et al. Atrioventricular block in children. Pediatricheskaya farmakologiya. 2018;15(5): 365-375 (In Russ.)] https://doi.org/10.15690/pf.v15i5.1959.
7. Tincani A, Rebaioli CB, Taglietti M, et al. Heart involvement in systemic lupus erythematosus, anti-phospholipid syndrome and neonatal lupus. Rheumatology (Oxford). 2006;45 Suppl 4: iv8-13. https://doi.org/10.1093/rheumatology/kel308
8. Carreon CK, Sanders SP, Ashworth MT. Chondroid and Osseous Metaplasia of the Central Fibrous Body in Adolescent Hearts with Mutations in TNNI3 and TNNT2 genes. Pediatr Dev Pathol. 2020;23(6): 453-460. https://doi.org/10.1177/1093526620937572.
9. Buyon JP, Clancy RM. Neonatal lupus: review of proposed pathogenesis and clinical data from the US-based Research Registry for Neonatal Lupus. Autoimmunity. 2003;36(1): 41-50. https://doi.org/10.1080/0891693031000067340.
Review
For citations:
Davydov D.A., Makarov I.A., Morozov A.A., Makarova T.A., Mitrofanova L.B. Clinical case of neonatal lupus with cartilaginous metaplasia, fibrosis and calcification of the atrioventricular node zone. Journal of Arrhythmology. 2023;30(2):е1-е5. https://doi.org/10.35336/VA-2023-2-10. EDN: VZVVWP