Pseudometabolic presentation of dystrophinopathy due to a missense mutation.

Abstract:

:Exercise intolerance with myalgia, muscle stiffness, and recurrent rhabdomyolysis due to mutations in the DMD gene can mimic metabolic myopathies leading to delayed or inaccurate diagnoses. In this retrospective chart review, we report 3 unrelated boys with exertional myalgia, muscle stiffness, myoglobinuria, and normal neurological examination due to an identical point mutation in the DMD gene: a hemizygous T-to-C change in exon 15 (c.1724T>C) resulting in an amino acid substitution of leucine to proline at codon 575. Two of the 3 boys had normal dystrophin immunostaining and Western blot analysis in muscle. This missense mutation has been reported twice before, with at least 1 patient exhibiting rhabdomyolysis. Our report, however, is the first to describe in detail the clinical findings associated with this specific mutation. Further studies and clinical reports are needed to better understand the pathogenicity of the mutation.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Veerapandiyan A,Shashi V,Jiang YH,Gallentine WB,Schoch K,Smith EC

doi

10.1002/mus.21823

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

975-9

issue

6

eissn

0148-639X

issn

1097-4598

journal_volume

42

pub_type

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