Presentation
At present, the genetic classification is becoming too complex, since the acronym LGMD has also been used for a number of other myopathic disorders with overlapping phenotypes. [ncbi.nlm.nih.gov]
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]
Patients with an onset in the early teens, show a more severe phenotype with a rapid disease course, while adult onset patients present a slower course. [archive.org]
Fig. 3 Resting CD4 + T-cell stimulation following co-culture with antigen presenting cells. [retrovirology.biomedcentral.com]
Tent-shaped mouth as a presenting symptom of congenital myotonic dystrophy. Ultrasound Obstet Gynecol. 2002;20:312–3. PubMed CrossRef Google Scholar 31. Sarnat HB, O’Connor T, Byrne PA. [doi.org]
Entire Body System
- Movement Disorder
(PMID: 27862579) Matalonga L … Girós M (Human mutation 2017) 3 4 60 Recessive TRAPPC11 mutations cause a disease spectrum of limb girdle muscular dystrophy and myopathy with movement disorder and intellectual disability. [genecards.org]
LGMD is a highly heterogeneous group of very rare neuromuscular disorders whose common factor is their autosomal inheritance. [content.iospress.com]
Severe combined immunodeficiency due to complete RAG1/2 deficiency Cystic medial necrosis of aorta Bifid nose with or without anorectal and renal anomalies Holzgreve syndrome Hemochromatosis type 2 Leisti Hollister Rimoin syndrome Congenital mirror movement [checkrare.com]
Liver, Gall & Pancreas
- Jaundice
Some of the topics covered in the book are the genetic aspects of liver disease connected with jaundice; development of the concept of thalassemia as a hemoglobinopathy; bilirubin metabolism; description of hemolytic jaundice; description of hyperbilirubinemia [books.google.de]
Musculoskeletal
- Muscle Weakness
weakness with childhood onset, resulting in gait abnormalities and scapular winging. [genecards.org]
The distribution of weakness includes a limb-girdle pattern, with shoulder and hip girdle muscle involvement; a humeroperoneal pattern, with predominantly triceps, biceps, and peroneal muscles weakness; or a distal pattern, with distal weakness in the [doi.org]
LGMDIC is characterized by an onset usually in the first decade, a mild-to-moderate proximal muscle weakness, calf hypertrophy, positive Gower sign, and variable muscle cramps after exercise. [archive.org]
Heterogeneity is seen between subtypes in presenting complaint, most but not all, experience proximal muscle weakness or myalgia. [content.iospress.com]
Treatment
treatment articles: Treatments for Muscular Dystrophy Treatments for Limb-girdle muscular dystrophy Causes See also causal information: Causes of Muscular Dystrophy Causes of Limb-girdle muscular dystrophy Similar Topic Articles Muscular dystrophy-dystroglycanopathy [familydiagnosis.com]
Following natural history data collection, the next challenge is to develop more effective, disease specific treatments. Current management is focussed on symptomatic and supportive treatments. [content.iospress.com]
Oxidative stress in SEPN1-related myopathy: from pathophysiology to treatment. Ann Neurol. 2009;65:677–86. PubMed CrossRef Google Scholar 83. Ferreiro A, Quijano-Roy S, Pichereau C, et al. [doi.org]
T-cell proliferation following co-culture and SEB treatment was highest with CD1c + DC and lowest with B-cells (Fig. 3 b), confirming previous observations by others [ 26 ]. [retrovirology.biomedcentral.com]
Epidemiology
Genetic epidemiology of congenital muscular dystrophy in a sample from north-east Italy. Hum Genet. 1996;97:277–9. PubMed CrossRef Google Scholar 62. Hughes MI, Hicks EM, Nevin NC, Patterson VH. [doi.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]
Pathophysiology
Oxidative stress in SEPN1-related myopathy: from pathophysiology to treatment. Ann Neurol. 2009;65:677–86. PubMed CrossRef Google Scholar 83. Ferreiro A, Quijano-Roy S, Pichereau C, et al. [doi.org]
Prevention
The integrase inhibitor, L8, prevented any progression of pre-integration complexes to integration and inhibited secondary rounds of infection. [retrovirology.biomedcentral.com]
Efforts should be focussed on prevention of contractures and orthopaedic referral where necessary [ 111 ]. Non maximal aerobic exercise should beencouraged. Respiratory failure is a feature of many types of LGMD. [content.iospress.com]