Abstract:
:We describe a family with a novel disorder characterized by episodic muscle weakness and X-linked inheritance. Eight males in three generations demonstrate the characteristic features of the disorder. Episodes of severe muscle weakness are typically precipitated by febrile illness and affect the facial and extraocular musculature, as well as the trunk and limbs, and resolve spontaneously over a period of weeks to months. Younger members of the family are normal between episodes but during relapses show generalized weakness, ptosis, and fluctuations in strength. In some cases, fatigability can be demonstrated. The proband has late-onset chronic weakness and fatigability. The clinical phenotype has features suggestive both of the congenital myasthenic syndromes and of ion-channel disorders such as the periodic paralyses. We have localized the responsible gene to chromosome Xp22.3, with a maximum two-point LOD score of 4. 52 at a recombination fraction of.0, between OACA2 and DXS9985.
journal_name
Am J Hum Genetjournal_title
American journal of human geneticsauthors
Ryan MM,Taylor P,Donald JA,Ouvrier RA,Morgan G,Danta G,Buckley MF,North KNdoi
10.1086/302588subject
Has Abstractpub_date
1999-10-01 00:00:00pages
1104-13issue
4eissn
0002-9297issn
1537-6605pii
S0002-9297(07)62614-7journal_volume
65pub_type
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journal_title:American journal of human genetics
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