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Tissue Triage and Freezing for Models of Skeletal Muscle Disease
Published on: July 15, 2014
[Congenital myopathy with type 1 fiber predominance in two children]
Meng-Chuan Luo1, Qiu-Xiang Li, Wei-Fan Yin
1Department of Neurology, Xiangya Hospital, Central South University, Changsha 410008, China.
Insights
This study details two congenital myopathy cases with type 1 fiber predominance. These findings contribute to understanding rare muscle diseases and their clinical presentations.
Area of Science:
- Neurology
- Genetics
- Pathology
Background:
- Congenital myopathies are a group of rare muscle diseases presenting at birth or during adolescence.
- Recent reports on specific types like homogeneous bodies myopathy and type 1 fiber predominance lack sufficient data and consistent clinical-pathological features.
Observation:
- This paper presents two pediatric cases of congenital myopathy characterized by a significant predominance of type 1 muscle fibers.
- Clinical symptoms included non-progressive muscle weakness, skeletal deformities (e.g., kyphoscoliosis, long face), and specific physical findings like a high palatal arch and winged scapulae.
- Laboratory results showed normal creatine kinase levels with slightly elevated lactate dehydrogenase.
Findings:
- Muscle biopsy analysis using ATPase staining revealed that type 1 fibers constituted over 90% of the total muscle fibers in both patients.
- No other significant pathological alterations, such as central cores, muscle tubes, or central nuclei, were observed, distinguishing these cases from other congenital myopathies.
Implications:
- These findings highlight type 1 fiber predominance as a distinct pathological hallmark in certain congenital myopathies.
- Further research is needed to establish consistent clinico-pathological correlations for rare congenital myopathies to improve diagnosis and management.
- This case report adds valuable data to the limited existing literature on congenital myopathies with type 1 fiber predominance.
Abstract:
Non-progressive congenital myopathy is a group of muscle diseases occurring at birth or during teenage years. A number of new reports of congenital myopathy, such as homogeneous bodies myopathy, muscle quality control myopathy and type 1 fiber predominance have recently been reported, but they lack of sufficient quantity and constant clinico-pathologic manifestations. This paper reports two cases of congenital myopathy with type 1 fiber predominance confirmed by muscle biopsy. The clinical manifestations of the two children (a 4.5-year-old girl and an 11-year-old boy) included non-progressive symptoms of muscle weakness, skeletal deformities and other clinical features of congenital myopathy. The physical examinations showed a long face or figure and funnel chest or kyphosis/scoliosis, high palatal arch and wing-like shoulder. Serum levels of creatine kinase were normal but slightly elevated serum lactate dehydrogenase levels were noted in the two children. The skeletal muscle biopsy by ATPase staining showed that type 1 fibers accounted for more than 90% of the total number of muscle fibers. No other abnormal pathological changes, such as central cores, muscle tube and central nuclei, were found in the two children.
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