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Medical Science Monitor Basic Research


A 13-Year-Old Boy from Thailand with Hutchinson-Gilford Progeria Syndrome with Coronary Artery and Aortic Calcification and Non-ST-Segment Elevation Myocardial Infarction (NSTEMI)

Rare disease

Natnicha Pongbangli, Kannika Pitipakorn, Sasivimon Jai-aue, Piyaporn Sirijanchune, Sorawit Pongpittayut, Wanwarang Wongcharoen

Thailand Division of Cardiology, Department of Internal Medicine, Chiang-Rai Prachanukroh Hospital, Chiang-Rai, Thailand

Am J Case Rep 2021; 22:e928969

DOI: 10.12659/AJCR.928969

Available online: 2020-11-16

Published: 2021-01-08


BACKGROUND: Hutchinson-Gilford progeria syndrome (HGPS), also known as progeria, is due to a mutation in the LMNA gene, resulting in a life expectancy of no more than 13 years, and a high mortality rate due to cardiovascular disease. We report the case of a 13-year-old boy from Thailand with Hutchinson-Gilford progeria syndrome with coronary artery and aortic calcification and non-ST-segment elevation myocardial infarction (NSTEMI).
CASE REPORT: A 13-year-old Thai boy was diagnosed with progeria. His physical appearance included short stature and thin limbs with prominent joint stiffness. He had craniofacial disproportion, with the absence of earlobes and with micrognathia. His skin had a generalized scleroderma-like lesion and hair loss with prominent scalp veins. His mental and cognitive functions were normal. Unfortunately, the mutation status in the LMNA gene was not available for testing in Thailand. He was diagnosed as having NSTEMI based on clinical chest pain, 12-lead ECG, and elevated cardiac troponin level. The coronary calcium score reflected severe calcification of the aortic valve and coronary artery disease along the left main and left anterior descending arteries. The patient received treatment with medication and aggressive risk factor control. After 3 months of follow-up, the patient reported no recurrence of symptoms.
CONCLUSIONS: This case of Hutchinson-Gilford progeria syndrome is rare in that most patients do not live beyond 13 years of age. This patient presented with typical accelerated degenerative changes of the cardiovascular system, including NSTEMI.

Keywords: Aging, Premature, Coronary Artery Disease, Progeria, Myocardial Infarction, Lamin Type A, vascular calcification, Aortic Valve, Rare Diseases, case reports