Abstract:
:We report two female patients with a history of alcohol abuse presenting with proximal painful muscle weakness following aversion therapy with emetine hydrochloride. Muscle biopsy of Case 1 showed a reversible floccular-shaped loss of myosin ATPase and dehydrogenase, an accumulation of PAS positive material, and a normal lipid content. Repeat biopsy showed core change with no focal loss of myosin ATPase. In Case 2, muscle biopsy was taken 1 month after commencement of emetine therapy and revealed similar but milder changes to Case 1. Electron microscopy revealed Z-band streaming with a decrease or loss of mitochondria. Sarcotubular systems appeared normal in shape and size. Anaerobic glycolysis on homogenate from the initial biopsy of Case 1 showed generalized reduction of lactate formation, which returned to normal in the repeat biopsy.
journal_name
Muscle Nervejournal_title
Muscle & nerveauthors
Sugie H,Russin R,Verity MAdoi
10.1002/mus.880070109subject
Has Abstractpub_date
1984-01-01 00:00:00pages
54-9issue
1eissn
0148-639Xissn
1097-4598journal_volume
7pub_type
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