Abstract |
Scapuloperoneal muscular dystrophy is a group of genetically heterogeneous disorders that share the phenotype of progressive weakness of scapular and anterior distal leg muscles. Recessive mutations in C-terminal domains of TRIM32 result in limb-girdle muscular dystrophy 2H and sarcotubular myopathy, a rare congenital myopathy commonly seen in Hutterites. A scapuloperoneal phenotype has never been reported in sarcotubular myopathy. We here report a 23-year-old Hutterite man with a one-year history of progressive weakness predominantly involving the anterior tibial and left scapular muscles, and hyperCKemia. Biopsy of the anterior tibial muscle showed an active myopathy with non-rimmed vacuoles and mild denervation atrophy associated with reinnervation. The vacuoles are similar to those described in sarcotubular myopathy. TRIM32 sequencing revealed the common c.1459G>A mutation at homozygosity. A search for mutations in TRIM32 should be considered in patients with scapuloperoneal muscular dystrophy, and especially in patients of Hutterite origin or with an atypical vacuolar myopathy.
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Authors | Teerin Liewluck, Jennifer A Tracy, Eric J Sorenson, Andrew G Engel |
Journal | Neuromuscular disorders : NMD
(Neuromuscul Disord)
Vol. 23
Issue 2
Pg. 133-8
(Feb 2013)
ISSN: 1873-2364 [Electronic] England |
PMID | 23142638
(Publication Type: Case Reports, Journal Article, Review)
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Copyright | Copyright © 2012 Elsevier B.V. All rights reserved. |
Chemical References |
- Transcription Factors
- Tripartite Motif Proteins
- TRIM32 protein, human
- Ubiquitin-Protein Ligases
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Topics |
- Biopsy
- Humans
- Male
- Muscle, Skeletal
(pathology, physiopathology)
- Muscular Dystrophies, Limb-Girdle
(complications, ethnology, genetics)
- Muscular Dystrophy, Emery-Dreifuss
(etiology, physiopathology)
- Mutation
(genetics)
- Phenotype
- South Dakota
(epidemiology)
- Transcription Factors
(genetics)
- Tripartite Motif Proteins
- Ubiquitin-Protein Ligases
- Young Adult
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