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Muscle Nerve. 2018 Aug;58(2):235-244. doi: 10.1002/mus.26147. Epub 2018 May 20.

Characterization of congenital myopathies at a Korean neuromuscular center.

Park YE1,2, Shin JH1,3, Kim HS3, Lee CH2,4, Kim DS1,4.

Author information

1
Department of Neurology, Pusan National University School of Medicine, Busan, South Korea.
2
Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea.
3
Research Institute for Convergence of Biomedical Research and Technology, Pusan National University Yangsan Hospital, Gyeongnam, South Korea.
4
Department of Pathology, Pusan National University, Busan, South Korea.

Abstract

INTRODUCTION:

Congenital myopathies are muscle diseases characterized by specific histopathologic features, generalized hypotonia from birth, and perinatal complications, although some cases develop during childhood or, rarely, in adulthood. We undertook this study to characterize congenital myopathies among patients registered at our institution.

METHODS:

Clinical, histopathologic, and genetic features were evaluated in 34 patients recruited for this study.

RESULTS:

The majority of patients experienced a childhood onset, and no disease-related mortality was recorded during follow-up. Functional outcomes were no better for those with late-onset disease, indicating later disease progression can be significant. Nemaline myopathy was the most frequent pathology, followed by central core disease and centronuclear myopathy. Among the 18 (54.5%) genetically confirmed patients, NEB and RYR1 mutations were the most common, followed by DNM2 mutations.

DISCUSSION:

This study shows features not previously reported and suggests that congenital myopathy should be considered an important issue among adult patients. Muscle Nerve 58: 235-244, 2018.

KEYWORDS:

central nuclei; congenital myopathy; core; fiber type disproportion; molecular genetics; nemaline rods

PMID:
29669168
DOI:
10.1002/mus.26147
[Indexed for MEDLINE]

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