Table 1.
Patient | Presentation | Affected family members* |
CK (a) | Clinical Course | Death |
---|---|---|---|---|---|
1 (Lacson case#1) |
Female; respiratory distress at 7 weeks |
Five siblings died <2 months age |
20-fold | Respiratory insufficiency, progressive muscle rigidity |
7 months |
2 (Lacson case #3) |
Male; Weak cry at 6 weeks followed by sudden death |
5 month sibling | ND | Sudden death | 6 weeks |
3 (Lacson case #6) |
Female; respiratory distress at 8 weeks |
None | 20-fold | Respiratory insufficiency |
3 months |
4 | Female; neonatal apneic spells, respiratory distress at 2 months |
2 month old brother; possible distant cousin with same surname |
15-20 fold |
Axial hypertonia, rigidity of abdominal wall, respiratory insufficiency |
3 months |
5 | Male; respiratory distress at 11 weeks |
One brother died at 3 months |
Truncal rigidity; alive at 4 years on mechanical ventilation |
- | |
6 | Female; weakness and sleep apnea since birth |
9 cousins died in early infancy; mother has mild myopathic symptoms but normal CK |
25-fold | Diffuse hypertonia and weakness; mechanical ventilation |
7.5 months |
7 | Female; respiratory distress |
Cousins | ND | Rigidity of abdominal wall, respiratory insufficiency |
3 months |
8 | Male; firm abdomen and viral pneumonia at 2 months |
Cousins | ND | Sudden death | 2 months |
Except for mother of patient 6, none of the parents reported weakness or had weakness on examination.
CK, creatine kinase, (a) reported as relative increase above the upper normal limit ND, not done