Table 1.
Pat. No. | Sex | Age of Onset/at Biopsy | Neurological Findings at Time of Biopsy | Creatin–Kinase (U/L) |
Muscle Biopsy Findings | Mono–Allelic Pathogenic Variants | Further Remarks |
---|---|---|---|---|---|---|---|
1 | m | 44/46 | Scapula alata, atrophy of proximal UL, proximal paresis of LL | 200–300 | Muscle fiber variability, fiber splitting, focal lipofibromatosis, vacuoles, cell necrosis | c.464G>A, p.[Arg155His] | |
2 | m | 30/35 | Cramps and myalgia at muscle exercise, slight proximal paresis of LL | 700–1000 | c.464G>A, p.[Arg155His] | ||
3 | m | 50/58 | Cramps and myalgia Proximal and distal UL weakness Distal LL weakness |
432–483 | Rare small angular fibers; rimmed vacuoles; rare cytoplasmic bodies, fibrosis, necrosis (rare) Type 1 fiber predominance |
c.648A>G p.[Ile216Met] | No family history |
4 | f | 43/45 | Scapula alata; distal UL and LL weakness | Normal | Fiber size variability; small atrophic fibers; some internalized nuclei; rimmed vacuoles; ragged red fibers (rare); Type 1 fiber predominance | c.474G>A p.[Met158Ile] | Scoliosis from childhood |
5 | m | 60/63 | Scapula alata; Proximal UL weakness; Distal UL and LL weakness (drop feet) | 317 | Slight fiber size variability; some internalized nuclei; scattered small atrophic fibers; focal increase of connective tissue | c.785C>G p.[Thr262Ser] | |
6 | m | 50/53 | Scapula alata Proximal UL, distal LL weakness | 557 | Moderate fiber size variability; some internalized nuclei; scattered small atrophic fibers; focal increase of connective tissue, Rimmed vacuoles | c.464G>A, p.[Arg155His] | Scoliosis, Paget’s bone disease |
7 | M | 69/71 | Scapula alata, proximal UL and LL, distal LL weakness | 230 | Slight fiber size variability; some internalized nuclei; scattered small atrophic fibers; focal increase of connective tissue | c.C277C>T, p.[Arg93Cys] | Scoliosis, axonal neuropathy of the legs |