tardive tibial muscular dystrophy (Udd myopathy)
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Genetics
- autosomal dominant
- associated with defects in titin gene
- homozygous mutations in the titin gene cause limb-girdle muscular dystrophy LGMD2J, while heterozygous mutations cause tardive tibial muscular dystrophy
Clinical manifestations
- late-onset distal myopathy
- muscle weakness & atrophy generally confined to anterior compartment of lower leg, i.e. tibialis anterior muscle
- symptoms usually occur at age 35-45 years or much later