myotubular myopathy (centronuclear myopathy)
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Pathology
- the most prominent histopathologic features include:
- high frequency of centrally located nuclei in muscle fibers not secondary to regeneration
- radial arrangement of sarcoplasmic strands around the central nuclei
- predominance & hypotrophy of type-1 muscle fibers
Genetics
- autosomal form associated with defects in DNM2
- autosomal form associated with defects in MYF6
- X-linked form associated with defects in MTM1 (type-1)
- autosomal recessive for associated with defects in BIN1 Clinical maniifestations:
- congenital muscle disorder
- progressive muscular weakness & wasting involving mainly limb girdle, trunk, & neck muscles
- may also affect distal muscles
- weakness may be present during childhood or adolescence or may not become evident until the third decade of life
- ptosis is a frequent clinical feature
- may have elongated face, high-arched palate, scoliosis[3]
More general terms
References
- ↑ OMIM https://mirror.omim.org/entry/160150
- ↑ OMIM https://mirror.omim.org/entry/310400
- ↑ 3.0 3.1 Medical Knowledge Self Assessment Program (MKSAP) 15, American College of Physicians, Philadelphia 2009