Yonsei Med J.  2000 Apr;41(2):281-284. 10.3349/ymj.2000.41.2.281.

Muscle fiber type disproportion with an autosomal dominant inheritance

Affiliations
  • 1Department of Neurology, Yonsei University College of Medicine, Seoul, Korea. sunwooin@yumc.yonsei.ac.kr
  • 2Department of Neurology, College of Medicine, Kwandong University, Kangwondo, Korea.
  • 3Department of Neurology, College of Medicine, Pochon Cha University, Kyonggido, Korea.
  • 4Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Congenital muscle fiber type disproportion (CFTD) has been described as a form of congenital myopathy characterized by the smallness and marked predominance of type 1 fibers in a muscle biopsy. Clinical manifestations include hypotonia, nonprogressive muscle weakness, joint contractures, and skeletal deformities. However, it has also been noted that the same pathologic alterations appeared in clinically diverse conditions. Recently, we experienced a family, a mother and two children, in which a muscle biopsy showed the mother to have muscle fiber type disproportion. This case was unusual in that there was a significant progression of weakness, an absence of neonatal hypotonia, and other commonly associated musculo-skeletal deformities. In this report, we describe the clinicopathologic features of the family with a brief review about muscle fiber type disproportion.

Keyword

Congenital myopathy; muscle fiber type disproportion; muscle biopsy

MeSH Terms

Adult
Biopsy
Child, Preschool
Female
Human
Male
Muscle Fibers/pathology*
Muscular Diseases/pathology
Muscular Diseases/genetics*
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