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Native American myopathy: congenital myopathy with cleft palate, skeletal anomalies, and susceptibility to malignant hyperthermia.

Abstract
Native American myopathy (NAM) [OMIM 255995], a putative autosomal recessive disorder, was first reported in the Lumbee Indians of North Carolina. NAM features include congenital weakness and arthrogryposis, cleft palate, ptosis, short stature, kyphoscoliosis, talipes deformities, and susceptibility to malignant hyperthermia (MH) provoked by anesthesia. This report documents the phenotypic complexity and natural history of this rare congenital disorder in fourteen individuals with NAM. Findings include a previously unreported 36% mortality by age 18. Based on this study, our conservative estimate for prevalence of NAM within the Lumbee population is approximately 2:10,000; however, birth incidence remains unknown.
AuthorsDemetra S Stamm, Arthur S Aylsworth, Jeffrey M Stajich, Stephen G Kahler, Leigh B Thorne, Marcy C Speer, Cynthia M Powell
JournalAmerican journal of medical genetics. Part A (Am J Med Genet A) Vol. 146A Issue 14 Pg. 1832-41 (Jul 15 2008) ISSN: 1552-4833 [Electronic] United States
PMID18553514 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Copyright2008 Wiley-Liss, Inc.
Chemical References
  • Ryanodine Receptor Calcium Release Channel
Topics
  • Abnormalities, Multiple (genetics, pathology)
  • Adolescent
  • Adult
  • Bone and Bones (abnormalities)
  • Child, Preschool
  • Cleft Palate (genetics)
  • Consanguinity
  • Female
  • Genes, Recessive
  • Humans
  • Indians, North American (genetics)
  • Infant
  • Infant, Newborn
  • Male
  • Malignant Hyperthermia (genetics)
  • Myopathies, Structural, Congenital (genetics, pathology)
  • North Carolina
  • Polymorphism, Single Nucleotide
  • Ryanodine Receptor Calcium Release Channel (genetics)
  • Syndrome

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