end-plate acetylcholinesterase deficiency (congenital myasthenic syndrome type 1C)
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Epidemiology
rare
Pathology
- morphological abnormalities of the neuromuscular junctions
Genetics
- autosomal recessive
- associated with defects in COLQ gene
Clinical manifestations
- onset during childhood
- generalized weakness
- abnormal fatigability on exertion
Diagnostic procedures
- decremental electromyographic response
Management
- refractory to acetylcholinesterase drugs