Myofibrillar myopathies: General
Muscular Dystrophy
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Overview
From WUSTL NeuromuscularClinical features Onset age: Adult; 20 to 57 years Weakness Patterns: Distal predominant > Proximal > Distal + Proximal Legs > Arms Dysphagia: 30% May present with: Respiratory failure Myalgia/Cramps: 50% Cardiomyopathy (50%) Specific associations Desmin: Most common; More Cardiac & Respiratory; More disability; No neuropathy Cataract: αB-crystallin; Myotilin; LBD3 Higher CK: Myotilin; Desmin Laboratory features EMG Myopathy Irritability: Fibrillations; Positive sharp waves Myotonia Complex repetitive discharges Serum CK: Normal, or Elevated < 5x Pathological & Molecular features Initial: Cent
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Data sourced from the Washington University Neuromuscular Disease Center. For clinical use, always refer to primary sources.