Bethlem Myopathy Phenotypes and Follow Up: Description of 8 Patients at the Mildest End of the Spectrum

The classical phenotypes of collagen VI-associated myopathies are well described. Little is known, however, about the progression of patients at the mildest end of the clinical spectrum. In this report, we describe the clinical findings and the results of MRI, muscle biopsy, collagen VI expression i...

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Veröffentlicht in:Journal of neuromuscular diseases 2016-05, Vol.3 (2), p.267-274
Hauptverfasser: Cruz, Simao, Figueroa-Bonaparte, Sebastian, Gallardo, Eduard, de Becdelièvre, Alix, Gartioux, Corine, Allamand, Valérie, Piñol, Patricia, Garcia, Maria Angels Rodriguez, Jiménez-Mallebriera, Cecilia, Llauger, Jaume, González-Rodríguez, Lidia, Cortes-Vicente, Elena, Illa, Isabel, Díaz-Manera, Jordi
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container_end_page 274
container_issue 2
container_start_page 267
container_title Journal of neuromuscular diseases
container_volume 3
creator Cruz, Simao
Figueroa-Bonaparte, Sebastian
Gallardo, Eduard
de Becdelièvre, Alix
Gartioux, Corine
Allamand, Valérie
Piñol, Patricia
Garcia, Maria Angels Rodriguez
Jiménez-Mallebriera, Cecilia
Llauger, Jaume
González-Rodríguez, Lidia
Cortes-Vicente, Elena
Illa, Isabel
Díaz-Manera, Jordi
description The classical phenotypes of collagen VI-associated myopathies are well described. Little is known, however, about the progression of patients at the mildest end of the clinical spectrum. In this report, we describe the clinical findings and the results of MRI, muscle biopsy, collagen VI expression in cultured skin fibroblasts and genetic tests of a series of patients with Bethlem myopathy. Our series highlights the existence of mild presentations of this disorder that progresses only slightly and can easily be overlooked. Analysis of the genetic studies suggests that missense mutations can be associated to a milder clinical presentation. Muscle MRI is extremely useful as it shows a pathognomonic pattern in most patients, especially those with some degree of muscle weakness.
doi_str_mv 10.3233/JND-150135
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subjects Adult
Collagen Type VI - genetics
Collagen Type VI - metabolism
Contracture - diagnostic imaging
Contracture - genetics
Contracture - pathology
Contracture - physiopathology
Disease Progression
Female
Fibroblasts - metabolism
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Middle Aged
Muscle, Skeletal - diagnostic imaging
Muscle, Skeletal - pathology
Muscular Dystrophies - congenital
Muscular Dystrophies - diagnostic imaging
Muscular Dystrophies - genetics
Muscular Dystrophies - pathology
Muscular Dystrophies - physiopathology
Mutation, Missense
Phenotype
Severity of Illness Index
Young Adult
title Bethlem Myopathy Phenotypes and Follow Up: Description of 8 Patients at the Mildest End of the Spectrum
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