Presentation
Cardiac disease may be present in up to 33%. [emedicine.medscape.com]
He has been the Editor in Chief, JAMA Neurology (1997- present) and a member of the Editorial Board of JAMA (1997-present). [books.google.com]
Patterns of abnormalities seen with needle EMG are presented in table 2 (Daube and Rubin 2009). [9pdf.co]
It usually presents within the first decade of life. The most common presenting complaint is primarily myalgia, followed by ‘rippling muscles’ and proximal muscle weakness [ 68 ]. [content.iospress.com]
It is also noteworthy that diabetes mellitus type II (DM II) was present in all five patients older than 45 years. Nevertheless, DM II was also present in three unaffected individuals in this family ( Figure 1, II-1, III-4, III-11). [doi.org]
Entire Body System
- Amyloidosis
Amyloidosis and exercise intolerance in ANO5 muscular dystrophy. Neuromuscul Disord. 2012;22:13–5. [ncbi.nlm.nih.gov]
[…] spondyloepimetaphyseal dysplasia, Missouri type spondyloepimetaphyseal dysplasia, Strudwick type spondyloepiphyseal dysplasia congenita Stickler syndrome + tarsal-carpal coalition syndrome Tietz syndrome Timothy syndrome Townes-Brocks syndrome + transthyretin amyloidosis [rgd.mcw.edu]
Guidelines on the diagnosis and management of AL amyloidosis. London, UK: British Society for Haematology; February 2003. Available at: http://www.bcshguidelines.com/pdf/UKMFAL070703.pdf. Accessed May 7, 2007. Kujovich JL. [aetna.com]
Respiratoric
- Respiratory Insufficiency
The disease has generally a benign clinical course but some individuals with childhood or juvenile onset manifest severe widespread myopathy, leading to wheelchair dependency and respiratory insufficiency. [genecards.org]
[…] failure Internally nucleated skeletal muscle fibers Pneumonia Heterogeneous Quadriceps muscle atrophy Distal lower limb muscle weakness Respiratory insufficiency Functional respiratory abnormality Dysphagia Dysarthria Limb-girdle muscle atrophy Limited [mendelian.co]
Other features can include neck flexor weakness, facial weakness, scapular winging, respiratory insufficiency, ankle contractures, and cramps. [emedicine.medscape.com]
Some patients showed dysphagia, arachnodactyly and respiratory insufficiency (Peterle et al. 2013), and progression was more rapid in the younger onset patients. [9pdf.co]
- Respiratory Distress
distress and dysphagia (MEGF10) DISTAL MYOPATHIES Distal myopathy with decreased caveolin 3 (CAV3) Miyoshi muscular myopathy (DSYF) Miyoshi muscular myopathy 3 (ANO5) Distal myopathy, with anterior tibial onset (DSYF) Distal myopathy 1, Laing (MYH7) [meduniwien.ac.at]
Cardiovascular
- Hypertension
The extent to which concomitant hypertension contributes to fibrosis in these patients cannot be determined, though of 7 with fibrosis only 3 had hypertension. [jcmr-online.biomedcentral.com]
" risk for hypertension. [aetna.com]
Musculoskeletal
- Joint Stiffness
Some develop joint stiffness ( contractures ) that can restrict movement in their hips, knees, ankles, or elbows. Overgrowth ( hypertrophy ) of the calf muscles occurs in some people with limb-girdle muscular dystrophy. [familydiagnosis.com]
Some develop joint stiffness (contractures) that can restrict movement in their hips, knees, ankles, or elbows. Overgrowth (hypertrophy) of the calf muscles occurs in some people with limb-girdle muscular dystrophy. [ghr.nlm.nih.gov]
Psychiatrical
- Addictive Behavior
Any variations within this pathway, whether genetic or environmental (epigenetic), may result in addictive behaviors or reward deficiency syndrome (RDS), which was coined to define addictive behaviors and their genetic components. [aetna.com]
Neurologic
- Ataxia
Spinocerebellar ataxia 2 (ATXN2) Spinocerebellar ataxia 3 (ATXN3) Spinocerebellar ataxia 6 (CACNA1A) Spinocerebellar ataxia 7 (ATXN7) HEREDITARY CARDIOMYOPATHIES Cardiomyopathy, familial hypertrophic (CAV3) Dilated cardiomyopathy, 1I (DES) Cardiomyopathy [meduniwien.ac.at]
He described Machado-Joseph disease (MJD), an autosomal dominant ataxia, with William Nyhan, M.D. Ph.D, in 1976, for the first time. MJD is now the most common autosomal domiant spinocerebellar ataxia world-wide. Dr. [books.google.com]
6 atrial heart septal defect 7 atrial heart septal defect 8 atrial heart septal defect 9 autoimmune lymphoproliferative syndrome type 2A autoimmune lymphoproliferative syndrome type 4 autosomal dominant Alport syndrome autosomal dominant cerebellar ataxia [rgd.mcw.edu]
[…] inclusion body myopathy, hereditary, autosomal recessive;hibm, inclusion body myopathy, quadriceps-sparing;qsm, gne myopathy, inclusion body myopathy 2, autosomal recessive, formerly;ibm2, formerly Related symptoms: Autosomal recessive inheritance Pica Ataxia [mendelian.co]
Spinocerebellar Ataxia Spinocerebellar ataxia (SCA) is an inherited progressive neurodegenerative disease. [aetna.com]
- Excitement
Pascual is interested in the molecular mechanisms that cause inherited metabolic and excitability disorders using electrophysiology and nuclear magnetic resonance both in human subjects and in models of human diseases. [books.google.com]
Images were acquired at GFP (excitation at 490/20 nm, emission at 535/50 nm) and mCherry (excitation at 572/35 nm, emission at 632/60 nm) channels. [doi.org]
MDA-supported scientists are pursuing several exciting strategies in muscular dystrophy research that have implications for LGMD. These strategies include gene therapy, exon skipping, stop codon read through, and myostatin blocking. [mda.org]
These researchers reviewed the physiology of the cardiac calcium homeostasis, including the cardiac excitation contraction coupling and myocyte calcium cycling. [aetna.com]
- Encephalopathy
Metabolic Disorders of the White Matter E-1690 100 Acquired Disorders Affecting the White Matter E-1725 101 Disorders of Consciousness in Children E-1741 102 Traumatic Brain Injury in Children E-1774 103 Abusive Head Trauma E-1821 104 HypoxicIschemic Encephalopathy [books.google.com]
(PAFAH1B1) MITOCHONDRIAL DISORDERS (NUCLEAR GENES) Progressive external ophthalmoplegia, with mtDNA deletions, autosomal dominant 1 (POLG) Progressive external ophthalmoplegia, with mtDNA deletions, autosomal recessive (POLG) Alpers syndrome (POLG) Encephalopathy [meduniwien.ac.at]
[…] capacity Absent Achilles reflex Facial hypotonia Genu recurvatum Myositis Unsteady gait Muscle fiber necrosis Proximal lower limb amyotrophy Muscle cramps Diabetes mellitus Optic atrophy Cataract Hypoglycosylation of alpha-dystroglycan Macroglossia Encephalopathy [mendelian.co]
An IQSEC2 nonsense variant was detected in the female ID patient, providing further evidence for a role of this gene in encephalopathy in females. [aetna.com]
- Dysarthria
The muscles of the respiratory system may also become involved in some cases resulting in difficulty swallowing (dysphagia), slurred speech (dysarthria), and breathing difficulties. [rarediseases.org]
[…] contracture of finger Inability to walk Respiratory failure Internally nucleated skeletal muscle fibers Pneumonia Heterogeneous Quadriceps muscle atrophy Distal lower limb muscle weakness Respiratory insufficiency Functional respiratory abnormality Dysphagia Dysarthria [mendelian.co]
Dysarthria and facial weakness may be present. Cardiomyopathy or arrhythmia is noted in 50%. Neuropathy noted in more than 50% may account for distal weakness. [emedicine.medscape.com]
Affected individuals typically present with asymmetric focal weakness of the extremities (stumbling or poor handgrip) or bulbar findings (dysarthria, dysphagia). [aetna.com]
- Cerebellar Ataxia
[…] septal defect 6 atrial heart septal defect 7 atrial heart septal defect 8 atrial heart septal defect 9 autoimmune lymphoproliferative syndrome type 2A autoimmune lymphoproliferative syndrome type 4 autosomal dominant Alport syndrome autosomal dominant cerebellar [rgd.mcw.edu]
Mitochondrial Recessive Ataxia Syndrome Lee et al (2007) stated that spino-cerebellar ataxia (SCA) is a heterogeneous group of neurodegenerative disorders with common features of adult-onset cerebellar ataxia. [aetna.com]
Treatment
Unlabeled Use of Products/Investigational Use Disclosure: Dr Wicklund discusses the unlabeled use of prednisone, prednisolone, and deflazacort for the treatment of Duchenne muscular dystrophy and of mexiletine for the treatment of myotonia in myotonic [journals.lww.com]
"Evidence-based guideline summary: Diagnosis and treatment of limb-girdle and distal dystrophies". Neurology. 83 (16): 1453–1463. doi : 10.1212/WNL.0000000000000892. ISSN 0028-3878. PMC 4206155. [en.wikipedia.org]
Highlights the common features of many mental and neurological disorders Provides insights into potential "cross-over" methods of identification and treatment Includes chapters on the most frequently diagnosed mental and neurological challenges faced [books.google.com]
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Several rare forms are inherited in an autosomal dominant pattern. [2] While there are no treatments which directly reverse the muscle weakness associated with this condition, supportive treatment can decrease the complications. [3] There are at least [familydiagnosis.com]
Prognosis
[…] corticosteroids in LGMD 2C-F individuals, shows some improvement [9] Additionally individuals can follow management that follows: [3] Occupational therapy Respiratory therapy Speech therapy Neutralizing antibody to myostatin should not be pursued In terms of the prognosis [en.wikipedia.org]
The presence of syndactyly seems to represent a different genetic variant of LQTS also associated with a poor prognosis. [aetna.com]
Etiology
Background Autosomal recessive limb-girdle muscular dystrophies (LGMD2) include a number of disorders with heterogeneous etiology that cause predominantly weakness and wasting of the shoulder and pelvic girdle muscles. [paperity.org]
Greenberg SA, Salajegheh M, Judge DP, et al. (2012) Etiology of limb girdle muscular dystrophy 1D/1E determined by laser capture microdissection proteomics. Annals Neurology 71 (1): 141–145. [els.net]
Candidates for diagnostic testing include infants, children, and adults with generalized hypotonia and proximal muscle weakness of unknown etiology. [aetna.com]
The combination of these findings is consistent with our previous observations and those of others demonstrating a link between myocardial fibrosis and diastolic dysfunction irrespective of etiology[ 38, 39 ]. [jcmr-online.biomedcentral.com]
Etiology of limb girdle muscular dystrophy 1D/1E determined by laser capture microdissection proteomics. Ann Neurol. 2012 Jan. 71(1):141-5. [Medline]. Sarparanta J, Jonson PH, Golzio C, Sandell S, Luque H, Screen M. [emedicine.medscape.com]
Epidemiology
This article discusses the epidemiology, clinical features, and diagnosis of these disorders. [journals.lww.com]
Relevant External Links for TNPO3 Genetic Association Database (GAD) TNPO3 Human Genome Epidemiology (HuGE) Navigator TNPO3 Atlas of Genetics and Cytogenetics in Oncology and Haematology: TNPO3 No data available for Genatlas for TNPO3 Gene A human importin-beta [genecards.org]
Classification and epidemiology All form of LGMD are inherited autosomally and the classification is alphanumeric with assignation of number ‘1’ or ‘2’ depending on whether they are inherited dominantly or recessively. [content.iospress.com]
A large epidemiological study in the Netherlands showed that autosomal dominant forms are much less common than recessive and sporadic forms of LGMD, accounting only for 10 percent of the cohort (van der Kooi et al. 1996a). [9pdf.co]
Screening and diagnosis for the fragile X syndrome among the mentally retarded: An epidemiological and psychological survey. Am J Hum Genet. 1997;61:660-667. Gonnaud PM, Sturtz F, Bonnebouche C, et al. [aetna.com]
Pathophysiology
^ a b c d "Limb-Girdle Muscular Dystrophy: Practice Essentials, Background, Pathophysiology". [en.wikipedia.org]
The LGMD disease group is large and no specific biochemical or pathophysiological concept is common to all LGMD diseases. In table 1 the LGMD diseases are listed showing the gene, protein product, clinical phenotype and allelic disorders. [9pdf.co]
Multiple functions are described, but the pathophysiologic basis for LGMD1B is unknown. [emedicine.medscape.com]
Clinical manifestations, pathophysiology, and diagnosis of atrioventricular (AV) canal defects. UpToDate [online serial]. Waltham, MA: UpToDate; reviewed December 2013. Altman CA. [aetna.com]
Prevention
Researchers hope to help patients with future discoveries effective in slowing or halting disease progression, reversing or preventing underlying mechanisms, and repairing previously damaged muscle. [journals.lww.com]
This DNA vaccine has the potential to be a safe and effective therapy to prevent Alzheimer disease. He described Machado-Joseph disease (MJD), an autosomal dominant ataxia, with William Nyhan, M.D. Ph.D, in 1976, for the first time. [books.google.com]
Dysregulated calcium homeostasis prevents plasma membrane repair in Anoctamin 5/TMEM16E-deficient patient muscle cells. Cell Death Discov. 2019;5:118. [ncbi.nlm.nih.gov]
While pharmacotherapies have made some impact on the prevention of SCD, the introduction of implantable cardioverter-defibrillator (ICD) therapy has been the single major advance in the prevention of SCD in the young. [aetna.com]
With widespread use of genetic tests, genetic counseling, antenatal diagnosis, and preventive measures are expected to be in the forefront in the coming years. Financial support and sponsorship Nil. [annalsofian.org]