The clinical, histologic, and genotypic spectrum of
Journal
Neurology
ISSN: 1526-632X
Titre abrégé: Neurology
Pays: United States
ID NLM: 0401060
Informations de publication
Date de publication:
15 09 2020
15 09 2020
Historique:
received:
09
12
2019
accepted:
25
03
2020
pubmed:
17
8
2020
medline:
5
11
2020
entrez:
16
8
2020
Statut:
ppublish
Résumé
To clarify the prevalence, long-term natural history, and severity determinants of Retrospective clinical, histologic, and genetic analysis of 132 pediatric and adult patients (2-58 years) followed up for several decades. The clinical phenotype was marked by severe axial muscle weakness, spinal rigidity, and scoliosis (86.1%, from 8.9 ± 4 years), with relatively preserved limb strength and previously unreported ophthalmoparesis in severe cases. All patients developed respiratory failure (from 10.1±6 years), 81.7% requiring ventilation while ambulant. Histopathologically, 79 muscle biopsies showed large variability, partly determined by site of biopsy and age. Multi-minicores were the most common lesion (59.5%), often associated with mild dystrophic features and occasionally with eosinophilic inclusions. Identification of 65 Our results inform clinical practice, improving diagnosis and management, and represent a major breakthrough for clinical trial readiness in this not so rare disease.
Identifiants
pubmed: 32796131
pii: WNL.0000000000010327
doi: 10.1212/WNL.0000000000010327
pmc: PMC7713742
doi:
Substances chimiques
Muscle Proteins
0
SELENON protein, human
0
Selenoproteins
0
Types de publication
Journal Article
Research Support, N.I.H., Intramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1512-e1527Informations de copyright
© 2020 American Academy of Neurology.
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