Neonatal perifascicular myopathy.

Abstract:

:Perifascicular atrophy of muscle fibers is generally considered to be a specific feature of autoimmune myopathies, dermatomyositis in particular. We describe a neonate presenting with hypotonia and weakness. A biopsy revealed atrophic and regenerating muscle fibers in a perifascicular distribution, and abnormal alkaline phosphatase activity in neighboring perimysial connective tissue. The weakness was nonprogressive and improved on follow-up even though no long-term treatment was administered. We conclude that the presence of perifascicular myopathic changes and muscle fiber atrophy in infants presenting with hypotonia and weakness is neither diagnostic of progressive dermatomyositis, nor a necessary indication for immunosuppressive therapy.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Nevo Y,Pestronk A

doi

10.1016/0887-8994(96)00127-0

subject

Has Abstract

pub_date

1996-09-01 00:00:00

pages

150-2

issue

2

eissn

0887-8994

issn

1873-5150

pii

0887899496001270

journal_volume

15

pub_type

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