An adult nemaline myopathy patient with respiratory and heart failure harboring a novel

CK, creatine kinase Congenital ECG, electrocardiography Heart failure LVOT, left ventricular outflow track LVOT-VTI, LVOT-velocity time integral. NM, nemaline myopathy Nebulin (NEB) Nemaline myopathy Respiratory failure TTE, transthoracic echocardiography bpm, beats per minute

Journal

eNeurologicalSci
ISSN: 2405-6502
Titre abrégé: eNeurologicalSci
Pays: Netherlands
ID NLM: 101667077

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 14 05 2020
revised: 12 08 2020
accepted: 25 08 2020
entrez: 17 9 2020
pubmed: 18 9 2020
medline: 18 9 2020
Statut: epublish

Résumé

Nemaline myopathy is a heterogeneous disorder of skeletal muscle, and histologically characterized by the presence of nemaline bodies in muscle fibers. Patients with typical congenital form of nemaline myopathy initially present with proximal but later also distal muscle weakness, mostly involving facial and respiratory muscle. Cardiac involvement has been rarely observed especially in nebulin-related nemaline myopathy and there have been only two reports about nebulin-related nemaline myopathy patients with cardiac involvement. We present here the case of a 65-year-old woman manifesting slowly progressive distal myopathy with respiratory and heart failure. She harbored two variants in the nebulin gene, c.20131C > T (p.Arg6711Trp) and c.674C > T (p.Pro225Leu), and one of them, c.674C > T, was a novel variant. In this report, we discuss the pathogenicity of the novel variant and its association with clinical phenotypes including cardiac involvement.

Identifiants

pubmed: 32939402
doi: 10.1016/j.ensci.2020.100268
pii: S2405-6502(20)30047-2
pii: 100268
pmc: PMC7479285
doi:

Types de publication

Case Reports

Langues

eng

Pagination

100268

Informations de copyright

© 2020 The Author(s).

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Auteurs

Masahiro Ohara (M)

Department of Internal Medicine, Tokyo, Metropolitan Bokutoh Hospital, Japan.
Department of Neurology and Neurological Science, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.

Yoshihiko Saito (Y)

Department of Neuromuscular Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, 4-1-1 Ogawahigashi-cho, Kodaira, Tokyo 187-8502, Japan.

Mutsufusa Watanabe (M)

Department of Internal Medicine, Tokyo, Metropolitan Bokutoh Hospital, Japan.

Saneyuki Mizutani (S)

Department of Internal Medicine, Tokyo, Metropolitan Bokutoh Hospital, Japan.

Masaki Kobayashi (M)

Department of Neurology, Nissan Tamagawa Hospital, 4-8-1 Seta, Setagaya-ku, Tokyo 158-0095, Japan.

Aritoshi Iida (A)

Medical Genome Center, National Center of Neurology and Psychiatry, 4-1-1 Ogawahigashi-cho, Kodaira, Tokyo 187-8551, Japan.

Ichizo Nishino (I)

Department of Neuromuscular Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, 4-1-1 Ogawahigashi-cho, Kodaira, Tokyo 187-8502, Japan.
Medical Genome Center, National Center of Neurology and Psychiatry, 4-1-1 Ogawahigashi-cho, Kodaira, Tokyo 187-8551, Japan.

Hiroto Fujigasaki (H)

Department of Internal Medicine, Tokyo, Metropolitan Bokutoh Hospital, Japan.

Classifications MeSH