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Sarcotubular Myopathy
Hutterite-Type Muscular Dystrophy

Presentation

PY - 1973 Y1 - 1973 N2 - Two brothers, presently 15 and 11 yr old, of a Hutterite colony and consanguineous parentage, have had nonprogressive muscle weakness since infancy. [mayoclinic.pure.elsevier.com]

At the present time it is unclear how mutations in one protein can result in such dissimilar phenotypes as muscular dystrophy and BBS. Mutations in result in two distinct hereditary disorders. [sciencepop.org]

Here we describe a three generation Swedish family clinically presenting with limb girdle muscular weakness and histological features of a microvacuolar myopathy. [ncbi.nlm.nih.gov]

Cardiac disease may be present in up to 33%. [emedicine.medscape.com]

Complex repetitive discharges were present in theanterior tibial and medial vastus muscles. There were nomyotonic discharges. [documents.tips]

Entire Body System

  • Fatigue

    * Back pain and fatigue are common symptoms. * Progression is slow, with continued ambulation until around 50 years of age or later. Symptoms - Limb-girdle muscular dystrophy type 2H Not supplied. [checkorphan.org]

    Some present with easy fatigue. Patients may complain of difficulty climbing stairs or fixing their hair in the morning. These disorder can be due to genetic disorders, inflammatory disorders and metabolic disorders among others. [hickoryneurology.net]

    Back pain and fatigue are common. Progression is slow, with continued ambulation until around 50 years of age or later. [emedicine.medscape.com]

Neurologic

  • Waddling Gait

    * Most patients have a mild phenotype, with limb-girdle weakness and a waddling gait at presentation. [checkorphan.org]

    Weakness in the legs is the most prominent and often results in a waddling gait and difficulty in climbing stairs and standing up from a squatting position. [wohproject.org]

    The patient's gait is unique, with a waddling component combined with inability to raise his or her heels off the ground. [emedicine.medscape.com]

Workup

We conclude from this study that MFMs ultrastructural findings can direct diagnostic efforts towards the causal gene mutated, and that EM should be included in the diagnostic workup of MFMs. [institut-myologie.org]

Treatment

There is little known about the muscle dysfunction underlying this disorder, and there are currently no treatments. The goal of this work is to gain greater insight into the role of DNM2 in normal muscle function and disease-related pathology. [deepblue.lib.umich.edu]

Treatment There is no available treatment for these myopathies. However, providing orthosis for correction of skeletal deformities or even surgical correction often leads to improvement of functional disabilities. [healthcentral.com]

Treatment: Physical therapy and exercise may be of benefit early. Prognosis: Poor. Most patients become wheelchair bound in the second and third decades. Ancillary treatments and support: General support. [wohproject.org]

Given the rarity of these diseases, the treatments outlined in the abstracts are not always evidence based. The information in the abstracts isnot intended to replace existing local, regional or country specific recommendations and guidelines. [orpha.net]

The Congenital Muscle Disease International Registry (CMDIR) was created to identify the global congenital muscle disease population for the purpose of raising awareness, developing standards of care, and implementing clinical trials in pursuit of treatments [dnatesting.uchicago.edu]

Prognosis

Prognosis - Limb-girdle muscular dystrophy type 2H This depends upon the type. In general slow progression of weakness is to be expected. The affected muscles get worse and it spreads to more muscles. [checkorphan.org]

Prognosis: Poor. Most patients become wheelchair bound in the second and third decades. Ancillary treatments and support: General support. Specialists and specialty centers: Orthopedist, Physical Therapist, Pediatrician. [wohproject.org]

Prognosis: variable course Diagnosis : Histopathology: • More type 1 fibres than type 2. • Within these fibres, there are structures which are called ‘cores’; which can be seen under the microscope. [slideshare.net]

Etiology

They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]

Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. [jcsm.info]

Boito et al ., had studied 214 patients with LGMD of unknown etiology. [neurologyindia.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

Standardising the descriptive epidemiology of osteoporosis: recommendations from the Epidemiology and Quality of Life Working Group of IOF. Osteoporos Int 2013 ; 24 : 2763 – 2764. 84 Kim KM, Jang HC, Lim S. [jcsm.info]

A Systematic Review and Meta-analysis on the Epidemiology of the Muscular Dystrophies. Can J Neurol Sci. 2016; 43(1):163-77. PMID: 26786644 Lemmers, RJ, et al. [invitae.com]

Epidemiology: Worldwide: Incidence:6 per 100,000 live births or 1/10th of all neuromuscular disorders. [slideshare.net]

Pathophysiology

Multiple functions are described, but the pathophysiologic basis for LGMD1B is unknown. [emedicine.medscape.com]

Prevention

Knowledge of the pathogenesis, genetics, and molecular biology of neuromuscular disorders is essential both in developing and applying new therapies and preventive measures, and in formulating genetic and prognostic advice. [books.google.com]

Prevention - Limb-girdle muscular dystrophy type 2H Not supplied. Diagnosis - Limb-girdle muscular dystrophy type 2H Patients may have a late onset, slow progression, no cardiac symptoms, but mild ECG changes. [checkorphan.org]

Surgical Care • Orthopedic surgery is often necessary in patients who live several years with their disease to prevent contractures and scoliosis Post scoliosis Surgery: 78. [slideshare.net]

The use of different diagnostic methods may lead to different prevalence of sarcopenia and may therefore have significant consequences on preventive or therapeutic strategies. Body compartments based on reference man. [jcsm.info]

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]

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