Emetine myopathy: two case reports with pathobiochemical analysis.

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 Nerve

journal_title

Muscle & nerve

authors

Sugie H,Russin R,Verity MA

doi

10.1002/mus.880070109

subject

Has Abstract

pub_date

1984-01-01 00:00:00

pages

54-9

issue

1

eissn

0148-639X

issn

1097-4598

journal_volume

7

pub_type

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