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2.1
Muscular Dystrophy-Dystroglycanopathy Type A4
Fukuyama Muscular Dystrophy

Presentation

The first reported female patient with the Fukuyama type of congenital muscular dystrophy associated with a lack of C-terminal domain of dystrophin is presented. [ncbi.nlm.nih.gov]

Whether or not there is a structural brain abnormality present, children may experience seizure activity. Laminin is also present in peripheral nerves, leading to peripheral neuropathy. [disabled-world.com]

We diagnosed the present patient as having FCMD based on these considerations, on the clinical severity, including the findings on MR images as discussed below. [neurologyindia.com]

but may present in infancy with clinical features overlapping with mild forms of α-dystroglycanopathy Clinical sensitivity Mutation detection rate for CMDs in general ranges from 20% to 46%. [invitae.com]

Entire Body System

  • Developmental Delay

    Walker Warburg Syndrome and Other FKTN-Related Dystrophies [FKTN]: Muscle weakness, feeding difficulties, seizures, blindness, brain malformations and developmental delay with mental retardation, life expectancy less than 3 years. [jewishgeneticdiseases.org]

    Ashkenazi Jewish: 1 in 44 More information → Asparagine Synthetase Deficiency A severe neurological disorder associated with developmental delays, small head and seizures. [jnetics.org]

    These features ultimately progress into childhood, and are accompanied by developmental delay and intellectual disability 1,3. [radiopaedia.org]

    Analyzes chromosomes in newborns and infants for changes that can explain certain birth defects or developmental delays. Multiple testing options providing information on the genetic health of your baby during the first and second trimesters. [integratedgenetics.com]

    Affected infants may have joint contractures, developmental delay and intellectual disability, and seizures. Death often occurs in late childhood or early adolescence due to difficulty swallowing and cardiomyopathy. [sema4.com]

  • Poor Feeding

    The first signs of the disorder appear in early infancy and include a weak cry, poor feeding, and weak muscle tone (hypotonia). [secure.ssa.gov]

    Early symptoms include poor feeding, a weak cry, and underdeveloped muscle tone. FCMD primarily affects the muscles used in movement, though it also affects the facial muscles. [disabilitybenefitscenter.org]

    Signs of Fukuyama Type Congenital Muscular Dystrophy are visible from infancy and include poor feeding, weak muscle tone, weak cry, and droopy eyelids FCMD can also cause impairment in the brain. [dovemed.com]

    Other symptoms can include difficulty feeding, failure to thrive, poor muscle tone and problems with movement and balance. [jnetics.org]

  • Turkish

    Here, we report a new FKTN alteration, a homozygous deletion of exon 3, which causes the mild phenotype of CMD1X in two brothers of consanguineous Turkish origin. [thieme-connect.com]

    Fukuyama type congenital muscular dystrophy in a Turkish child. Can J Neurol Sci 1990;17:149-50. [ PUBMED ] 7. Peters AC, Bots GT, Roos RA, van Gelderen HH. Fukuyama type congenital muscular dystrophy-two Dutch siblings. [neurologyindia.com]

    […] muscle biopsies [2] [3] Treatment Physical therapy [4] Fukuyama congenital muscular dystrophy (FCMD) is a rare, autosomal recessive form of muscular dystrophy (weakness and breakdown of muscular tissue) mainly described in Japan but also identified in Turkish [en.wikipedia.org]

    The identification of homozygous coding mutations in the FCMD gene outside of Japan, in two Turkish families affected by WWS (de Bernabe, et al., 2003; Silan, et al., 2003) indicated that WWS may be allelic to FCMD. [ncbi.nlm.nih.gov]

    Congenital muscular dystrophy with secondary merosin deficiency and cerebellar cysts A consanguineous Turkish family with this phenotype was recently reported 39. [mrineonatalbrain.com]

Gastrointestinal

  • Dysphagia

    Dilated cardiomyopathy (DCM), Mandibuloacral dysplasia type A, Progeria Hutchinson-Gilford type AD/AR 250 564 LMOD3 Severe congenital nemaline myopathy, Typical nemaline myopathy AR 8 15 MEGF10 Myopathy, early-onset, areflexia, respiratory distress, and dysphagia [blueprintgenetics.com]

Cardiovascular

  • Heart Disease

    Other severe symptoms include low muscle tone, heart disease and breathing difficulties. The late-onset form of the disease is less severe. [jnetics.org]

    […] congestive heart failure, ischemic heart disease or after heart transplantation. [frontiersin.org]

Eyes

  • Abnormal Eye Movement

    Ophthalmological findings such as peripheral abnormalities of the retina or abnormal eye movements are often observed in FCMD patients ( 3 ). [hmg.oxfordjournals.org]

    Infants present with dysmorphic features, hypotonia, and hyporeflexia, abnormal eye movements and poor feeding. [mrineonatalbrain.com]

Musculoskeletal

  • Muscular Atrophy

    muscular atrophy type 2 Synonyms: SMA2, Muscular atrophy, spinal, intermediate type, Muscular atrophy, spinal, infantile chronic form, Spinal muscular atrophy type II, SMA II, Dubowitz disease Spinal muscular atrophy type 3 Synonyms: SMA3, Muscular atrophy [rarediseases.info.nih.gov]

    Copies of the survival motor neuron gene in spinal muscular atrophy: the more, the better. Neuromuscul Disord 2000;10:274-5. 10. Sendtner M. Molecular mechanisms in spinal muscular atrophy: models and perspectives. [jped.com.br]

    Facioscapulohumeral Muscular Dystrophy Limb-Girdle Muscular Dystrophy Manifesting carrier of Becker or Duchenne Muscular Dystrophy Myotonic Dystrophy Types 1 and 2 Occulopharyngeal Muscular Dystrophy Diseases of the Motor Neurons Spinal Muscular Atrophy [mda.org.nz]

    Dystrophy - som.unm.edu/programs/opmd Spinal Muscular Atrophy - smaregistry.iu.edu [cmdir.org]

    Examination at age 35 revealed a generalized hypotonia and muscular atrophy. [docslide.com.br]

  • Muscle Hypotonia

    Developmental delay was observed in the majority of the children, partially due to muscle hypotonia, and in some degree hyperflexible joints. [nature.com]

Neurologic

  • Hyporeflexia

    Infants present with dysmorphic features, hypotonia, and hyporeflexia, abnormal eye movements and poor feeding. [mrineonatalbrain.com]

Workup

We suggest a simple and practical diagnostic approach for the workup of patients with a suspected autosomal recessive cutis laxa (Figure 5). [nature.com]

Treatment

[…] exists. [13] Treatment offers preventative tactics to delay muscle breakdown and increase life expectancy. [en.wikipedia.org]

AON treatment also restored fukutin functions, including O-glycosylation of α-dystroglycan (α-DG) and laminin binding by α-DG. [ncbi.nlm.nih.gov]

A 3-year-9-month old, 13kg girl with Fukuyama type congenital muscular dystrophy was scheduled for dental treatment under general anesthesia. She had multiple caries and 14 primary teeth needed caries treatment. [journal.kapd.org]

More than half of all affected children also experience seizures TREATMENT There is no definitive treatment for FCMD. There is treatment that is designed to improve quality of life. [secure.ssa.gov]

The following treatments are available though: Treatments to delay muscle breakdown and increase life expectancy, such as through physical therapy and stretching to increase mobility or benefit the muscles, may be attempted Individuals with seizures may [dovemed.com]

Prognosis

(Outcomes/Resolutions) In general, Fukuyama Type Congenital Muscular Dystrophy has a poor prognosis. [dovemed.com]

ACE inhibitors and beta blockers help treat heart conditions, and respiratory assistance is more than likely needed at some point for the affected individual [2] [13] [14] Prognosis [ edit ] Fukuyama congenital muscular dystrophy has a poor prognosis. [en.wikipedia.org]

Prognosis - Fukuyama type muscular dystrophy Not supplied. Treatment - Fukuyama type muscular dystrophy Not supplied. Resources - Fukuyama type muscular dystrophy Not supplied. [checkorphan.org]

Treatment and prognosis No disease-modifying therapy is available (as of 2017), and management relies on input from allied health services. [radiopaedia.org]

[…] disorders are discussed. comments: a better knowledge of congenital muscular dystrophies will improve the number of correct diagnoses and open new horizons for the treatment of such diseases. genetic evaluation of ucmd patients has relevant implications for prognosis [oalib.com]

Etiology

The large overlap of clinical presentations due to mutations in different genes poses a challenge for clinicians in determining disease etiology for each patient. [content.iospress.com]

We hope that our review will serve as an inspiration for clinicians and geneticists to investigate patients with phenotypically overlapping syndromes as these may etiologically relate to other subunits of the V-ATPase complex. [nature.com]

(Etiology) Fukuyama Type Congenital Muscular Dystrophy is inherited in an autosomal recessive manner The cause of this disorder is a mutation in the gene that instructs the production of fukutin, a type of protein. [dovemed.com]

The exact genetic mutation and etiology has not been found. Merosin positive CMD is a nonspecific diagnosis; because of this, persons with Merosin positive CMD may have a variable presentation. [disabled-world.com]

Epidemiology

CRC Press, 29.12.2006 - 640 Seiten The product of a world center of excellence in teaching and medical and surgical practice, this handbook combines the advantages of a colour atlas with those of a short textbook covering clinical features, epidemiology [books.google.de]

Relevant External Links for FKTN Genetic Association Database (GAD) FKTN Human Genome Epidemiology (HuGE) Navigator FKTN Atlas of Genetics and Cytogenetics in Oncology and Haematology: FKTN No data available for Genatlas for FKTN Gene Congenital muscular [genecards.org]

The only epidemiological study of the CMD's comes from a study in northern Italy, which placed disease prevalence at 8 x 106 (Mostacciulo ML, et al, 1996). [disabled-world.com]

A genetical epidemiological study on congenital progressive muscular dystrophy (Fukuyama type). J. Tokyo Women's med. Coll. 48, 112–149 (1978). 31 Takeshita, K., Yoshino, K., Kitahara, T., Nakashima, T. & Kato, N. [nature.com]

A genetical and epidemiological study on congenital progressive muscular dystrophy (Fukuyama type). J Tokyo Women's Med Coli (Tokyo) 1978;48: 112-49. Ley ten et al: Congenital muscular dystrophy 537 [docslide.com.br]

Pathophysiology

These data suggest that the pathophysiological findings of FCMD can be explained by less severe cardiac dysfunction in FCMD than DMD. Copyright © 2017 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved. [ncbi.nlm.nih.gov]

This second mutation has only been found to date in the presence of the first mutation. [10] Pathophysiology [ edit ] The mechanism of this sub-type of muscular dystrophy consists of a mutation in the FKTN gene which results in a malformed fukutin protein [en.wikipedia.org]

Pathophysiology The pathophysiology of the congenital muscular dystrophies depends on the specific genetic defect for each of the dystrophies and is discussed with each of the congenital muscular dystrophies below. [emedicine.medscape.com]

A study of fukutin will open new avenues for understanding the pathophysiological mechanisms underlying these complex disorders consisting of cortical dysgenesis, congenital muscular dystrophy and eye malformation. [hmg.oxfordjournals.org]

Pathophysiological aspects in ARCL type II patients with a ATP6V0A2 defect As described above, a large number of families with ARCL type II or WSS2, 22 with a distinct phenotype showed loss-of-function mutations in the a2-subunit of the V-type H+-ATPase [nature.com]

Prevention

[…] cobblestones A diagnosis of this disorder can be made through medical history and physical exams with other blood tests and procedures to assist in the diagnosis The treatment of Fukuyama Type Congenital Muscular Dystrophy includes physical therapy to prevent [dovemed.com]

Antiepileptic medication is administered to help prevent seizures. [en.wikipedia.org]

Introduction of antisense oligonucleotides (AONs) targeting the splice acceptor, the predicted exonic splicing enhancer and the intronic splicing enhancer prevented pathogenic exon-trapping by SVA in cells of patients with FCMD and model mice, rescuing [ncbi.nlm.nih.gov]

Prevention - Fukuyama type muscular dystrophy Not supplied. Diagnosis - Fukuyama type muscular dystrophy Not supplied. Prognosis - Fukuyama type muscular dystrophy Not supplied. Treatment - Fukuyama type muscular dystrophy Not supplied. [checkorphan.org]

This condition weakens and enlarges the heart, preventing it from pumping blood efficiently. When dilated cardiomyopathy is associated with FKTN gene mutations, it is known as type 1X (DCM1X). [selfdecode.com]

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2.1
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