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Query: UMLS:C0033377 (
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11,717
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Centronuclear myopathy (CNM) is a rare congenital muscle disease characterized by fibers with prominent centralized nuclei in muscle biopsies. The disease is clinically heterogeneous, ranging from severe neonatal hypotonic phenotypes to adult-onset mild muscle weakness, and can have multiple modes of inheritance in association with various genes, including MTM1,
DNM2
, BIN1 and RYR1. Here we analyzed 18 sporadic patients with clinical and histological diagnosis of CNM and sequenced the
DNM2
gene, which codes for the dynamin 2 protein. We found
DNM2
missense mutations in two patients, both in exon 8, one known (p.E368K) and one novel (p.F372C), which is found in a position of presumed pathogenicity and appeared de novo. The patients had similar phenotypes characterized by neonatal signs followed by improvement and late childhood reemergence of slowly progressive generalized muscle weakness, elongated face with
ptosis
and ophthalmoparesis, and histology showing fibers with radiating sarcoplasmic strands (RSS). These patients were the only ones in the series to present this histological marker, which together with previous reports in the literature suggest that, when RSS are present, direct sequencing of
DNM2
mutation hot spot regions should be the first step in the molecular diagnosis of CNM, even in sporadic cases.
...
PMID:DNM2 mutations in a cohort of sporadic patients with centronuclear myopathy. 2627 16
Dynamin (
DNM2
) centronuclear myopathy (CNM) has variable age of onset, distal greater than proximal muscle weakness,
ptosis
with or without extraocular muscle weakness, and a characteristic muscle biopsy with radial sarcoplasmic strands giving spoke like appearance. The following case report highlights clinical, electrophysiology, and pathology features of a genetic confirmed
DNM2
CNM subject. In addition, a review of literature on all genetic confirmed
DNM2
CNM cases published in English literature from 2006 to 2016 is presented.
...
PMID:Clinical, Electrophysiology, and Pathology Features of Dynamin Centronuclear Myopathy: A Case Report and Review of Literature. 2786 Dec 21