nemaline myopathy type 5 (Amish nemaline myopathy)
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Epidemiology
- common among old order Amish; incidence of approximately 1:500.
Genetics
- associated with defects in TNNT1
- nucleotide replacement in exon 11 results in a truncated protein
Clinical manifestations
- affected infants have tremors with hypotonia & mild contractures of the shoulders & hips
- proximal contractures progressively weaken & a pectus carinatum deformity develops
- children die of respiratory insufficiency, usually in the second year