Oculopharyngeal muscular dystrophy with limb girdle weakness as major complaint

This first description of the oculopharyngeal muscular dystrophy (OPMD) phenotype in Dutch patients shows that limb girdle weakness can occur early in the course of disease and can give the first and major complaint in OPMD patients. The aim of this study was to examine clinically, histologically an...

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Veröffentlicht in:Journal of neurology 2003-11, Vol.250 (11), p.1307-1312
Hauptverfasser: VAN DER SLUIJS, Barbara M, HOEFSLOOT, Lies H, PADBERG, George W, VAN DER MAAREL, Silvère M, VAN ENGELEN, Baziel G. M
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container_end_page 1312
container_issue 11
container_start_page 1307
container_title Journal of neurology
container_volume 250
creator VAN DER SLUIJS, Barbara M
HOEFSLOOT, Lies H
PADBERG, George W
VAN DER MAAREL, Silvère M
VAN ENGELEN, Baziel G. M
description This first description of the oculopharyngeal muscular dystrophy (OPMD) phenotype in Dutch patients shows that limb girdle weakness can occur early in the course of disease and can give the first and major complaint in OPMD patients. The aim of this study was to examine clinically, histologically and genetically all Dutch OPMD patients known at the Neuromuscular Centre Nijmegen, to measure the limb girdle weakness (MRC scale) and to quantify the consequences of the limb girdle weakness on daily activities (Rankin scale). Remarkable in this population was the early onset and the severity of the limb girdle weakness. We found a higher percentage of patients with limb girdle weakness than reported before in non-Dutch OPMD populations. This limb girdle weakness caused limitations in daily activities more than the other symptoms of OPMD. It was difficult to compare the severity of the limb girdle weakness of Dutch patients with other patients because of the lack of data related to quantification of limb girdle weakness in non-Dutch OPMD patients. Because of the influence of the limb girdle weakness on the daily activities of the patients, we recommend that more attention is paid to the proximal limb muscles in OPMD patients early in the course of the disease.
doi_str_mv 10.1007/s00415-003-0201-6
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Neuromuscular diseases</topic><topic>DNA Repeat Expansion</topic><topic>Dysphagia</topic><topic>Extremities - pathology</topic><topic>Extremities - physiopathology</topic><topic>Female</topic><topic>Genotype &amp; phenotype</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microscopy, Electron</topic><topic>Middle Aged</topic><topic>Muscle Weakness - etiology</topic><topic>Muscle Weakness - genetics</topic><topic>Muscle, Skeletal - ultrastructure</topic><topic>Muscular dystrophy</topic><topic>Muscular Dystrophy, Oculopharyngeal - complications</topic><topic>Muscular Dystrophy, Oculopharyngeal - genetics</topic><topic>Muscular Dystrophy, Oculopharyngeal - physiopathology</topic><topic>Neurology</topic><topic>Poly(A)-Binding Protein II - genetics</topic><topic>Polymerase Chain Reaction</topic><topic>Proteins</topic><topic>Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VAN DER SLUIJS, Barbara M</creatorcontrib><creatorcontrib>HOEFSLOOT, Lies H</creatorcontrib><creatorcontrib>PADBERG, George W</creatorcontrib><creatorcontrib>VAN DER MAAREL, Silvère M</creatorcontrib><creatorcontrib>VAN ENGELEN, Baziel G. 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M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oculopharyngeal muscular dystrophy with limb girdle weakness as major complaint</atitle><jtitle>Journal of neurology</jtitle><addtitle>J Neurol</addtitle><date>2003-11-01</date><risdate>2003</risdate><volume>250</volume><issue>11</issue><spage>1307</spage><epage>1312</epage><pages>1307-1312</pages><issn>0340-5354</issn><eissn>1432-1459</eissn><coden>JNRYA9</coden><abstract>This first description of the oculopharyngeal muscular dystrophy (OPMD) phenotype in Dutch patients shows that limb girdle weakness can occur early in the course of disease and can give the first and major complaint in OPMD patients. The aim of this study was to examine clinically, histologically and genetically all Dutch OPMD patients known at the Neuromuscular Centre Nijmegen, to measure the limb girdle weakness (MRC scale) and to quantify the consequences of the limb girdle weakness on daily activities (Rankin scale). Remarkable in this population was the early onset and the severity of the limb girdle weakness. We found a higher percentage of patients with limb girdle weakness than reported before in non-Dutch OPMD populations. This limb girdle weakness caused limitations in daily activities more than the other symptoms of OPMD. It was difficult to compare the severity of the limb girdle weakness of Dutch patients with other patients because of the lack of data related to quantification of limb girdle weakness in non-Dutch OPMD patients. Because of the influence of the limb girdle weakness on the daily activities of the patients, we recommend that more attention is paid to the proximal limb muscles in OPMD patients early in the course of the disease.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>14648146</pmid><doi>10.1007/s00415-003-0201-6</doi><tpages>6</tpages></addata></record>
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ispartof Journal of neurology, 2003-11, Vol.250 (11), p.1307-1312
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Adult
Biological and medical sciences
Biopsy
Blepharoptosis - etiology
Deglutition Disorders - etiology
Diseases of striated muscles. Neuromuscular diseases
DNA Repeat Expansion
Dysphagia
Extremities - pathology
Extremities - physiopathology
Female
Genotype & phenotype
Humans
Male
Medical sciences
Microscopy, Electron
Middle Aged
Muscle Weakness - etiology
Muscle Weakness - genetics
Muscle, Skeletal - ultrastructure
Muscular dystrophy
Muscular Dystrophy, Oculopharyngeal - complications
Muscular Dystrophy, Oculopharyngeal - genetics
Muscular Dystrophy, Oculopharyngeal - physiopathology
Neurology
Poly(A)-Binding Protein II - genetics
Polymerase Chain Reaction
Proteins
Questionnaires
title Oculopharyngeal muscular dystrophy with limb girdle weakness as major complaint
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