Abstract:
:Long-term observations over a period of 22 years in an Indian family with primary dysferlinopathy are recorded, defining phenotypic variability. In the propositus, the dystrophy began distally in the tibialis anterior muscles, before involving the gastrocnemius. Transient painful calf hypertrophy, followed by calf wasting was observed. The proximal lower and upper limbs weakened after three to four years. The younger sibling presented with the proximo-distal phenotype. Both patients showed very high creatine kinase values early into the illness. Disease progression was slow. The younger sibling lost ambulation 14 years after onset, while the elder one remains ambulatory 22 years into the illness. Muscle biopsy showed dystrophic features and absence of dysferlin. Monocyte western blotting confirmed absence of dysferlin. Genetic analysis detected a heterozygous mutation in Exon 54 [c.6124C>T] in the DYSF gene. This is the first family with a diagnosis of dysferlinopathy supported by genetic data, reported from India.
journal_name
Neurol Indiajournal_title
Neurology Indiaauthors
Khadilkar SV,Singh RK,Agarwal P,Krahn M,Levy Ndoi
10.4103/0028-3886.43459subject
Has Abstractpub_date
2008-07-01 00:00:00pages
388-90issue
3eissn
0028-3886issn
1998-4022journal_volume
56pub_type
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