scholarly journals LIMB-GIRDLE MUSCULAR DYSTROPHY TYPE 2B AS A DIFFERENTIAL DIAGNOSIS OF REFRACTORY POLYMYOSITIS: A CASE REPORT

2021 ◽  
Author(s):  
Jucier Gonçalves Júnior ◽  
Fernando Henrique Carlos de Souza ◽  
Renta Miossi ◽  
Maria Eugênia Teixeira Bicalho ◽  
Samuel Katsuyuki Shinjo

Jucier Gonçalves Júnior , Fernando Henrique Carlos de Souza , Renta Miossi , Maria Eugênia Teixeira Bicalho , Samuel Katsuyuki Shinjo

2019 ◽  
Author(s):  
FLÁVIO RIBEIRO PEREIRA ◽  
JANNINE FARIAS BELLINI LEITE ◽  
ISABELLA MATIAS RIBEIRO ◽  
FERNANDA MARVILA FAGUNDES LAMARCA ◽  
NATÁLIA MIRANDA GAVA ◽  
...  

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Simon O’Shea ◽  
Thomas M. Jenkins

Abstract Background The term limb girdle muscular dystrophy (LGMD) describes a group of genetic muscular disorders that require specialist input from neurologically trained clinicians. The plethora of potential symptoms of this heterogenous group can result in patients presenting initially to musculoskeletal (MSK) physiotherapists. Case presentation The following case report highlights the presentation of a 21 year old female attending with 2 years of spinal pain and an unusual pattern of weakness, namely when rising from a sitting position the hips were abducted and then internally rotated. Formal testing in clinic revealed no isolated weakness initially despite the odd functional movements. There were no neural limb pains and no upper or lower motor neuron concerns on testing. There were no other health concerns. Some gains were reported with recent physiotherapy strengthening exercises and these were persisted with but proved ineffective overall. The Biopsychosocial model was used judiciously to explore alternative pathologies and led to appropriate investigations, onward referral, diagnosis and appropriate management of LGMD. Extensive atrophy of the spinal muscles was evident on imaging which was not particularly identified within the physiotherapy testing process in the earlier stages. Creatine kinase levels were also significantly raised. Conclusions Being mindful of this novel presentation in musculoskeletal clinics may well aid future, similar cases to be identified. The case highlights the importance of looking at the functional impact as opposed to traditional testing methods especially in the early stages of such conditions.


1993 ◽  
Vol 305 (3) ◽  
pp. 166-170 ◽  
Author(s):  
Satoshi Terashima ◽  
Shuji Katoh ◽  
Hirotaka Tatsukawa ◽  
Morihiko Kondoh ◽  
Yoshifumi Nakahara ◽  
...  

2014 ◽  
Vol 72 (9) ◽  
pp. 721-734 ◽  
Author(s):  
Ana Cotta ◽  
Elmano Carvalho ◽  
Antonio Lopes da-Cunha-Júnior ◽  
Júlia Filardi Paim ◽  
Monica M. Navarro ◽  
...  

Limb girdle muscular dystrophies are heterogeneous autosomal hereditary neuromuscular disorders. They produce dystrophic changes on muscle biopsy and they are associated with mutations in several genes involved in muscular structure and function. Detailed clinical, laboratorial, imaging, diagnostic flowchart, photographs, tables, and illustrated diagrams are presented for the differential diagnosis of common autosomal recessive limb girdle muscular dystrophy subtypes diagnosed nowadays at one reference center in Brazil. Preoperative image studies guide muscle biopsy site selection. Muscle involvement image pattern differs depending on the limb girdle muscular dystrophy subtype. Muscle involvement is conspicuous at the posterior thigh in calpainopathy and fukutin-related proteinopathy; anterior thigh in sarcoglycanopathy; whole thigh in dysferlinopathy, and telethoninopathy. The precise differential diagnosis of limb girdle muscular dystrophies is important for genetic counseling, prognostic orientation, cardiac and respiratory management. Besides that, it may probably, in the future, provide specific genetic therapies for each subtype.


1990 ◽  
Vol 299 (6) ◽  
pp. 411-414 ◽  
Author(s):  
Seinosuke Kawashima ◽  
Masahiro Ueno ◽  
Tomohiro Kondo ◽  
Juro Yamamoto ◽  
Tadaaki Iwasaki

2010 ◽  
Vol 50 (9) ◽  
pp. 661-665 ◽  
Author(s):  
Yoshiyuki Kondo ◽  
Madoka Mori-Yoshimura ◽  
Yukiko K. Hayashi ◽  
Yasushi Oya ◽  
Noriko Satoh ◽  
...  

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