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Multicore myopathy--a case report

N H Myong1, Y K Kang, J G Chi

  • 1Department of Pathology, Seoul National University College of Medicine, Korea.

Journal of Korean Medical Science
|August 1, 1993
PubMed
Summary
This summary is machine-generated.

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Multicore myopathy, a rare congenital condition, presents as muscle weakness. This study details a case in a 9-year-old boy, highlighting diagnostic features and microscopic findings.

Area of Science:

  • Neurology
  • Muscle Biology
  • Genetics

Background:

  • Multicore myopathy is a rare congenital myopathy characterized by specific microscopic findings in muscle fibers.
  • It is often associated with muscle weakness presenting in infancy, which can be non-progressive or slowly progressive.

Observation:

  • A 9-year-old boy presented with congenital nonprogressive myopathy, thoracic scoliosis, and bilateral equinovarus deformity.
  • Serum creatine phosphokinase and lactic dehydrogenase levels were normal, with electromyography showing myopathic features.
  • Muscle biopsy revealed marked myofiber size variation, type I fiber predominance, peripheral minicores with reduced oxidative activity, and minimal fibrosis.

Findings:

  • Histochemical analysis demonstrated well-defined peripheral cores (minicore lesions) with loss of intermyofibrillary mitochondrial activity.

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  • Electron microscopy confirmed disintegrated Z-band material and disorganized sarcomeric units, with reduced mitochondria and glycogen particles within the cores.
  • These findings are consistent with multicore myopathy, specifically the minicore variant.
  • Implications:

    • This case contributes to understanding the clinical and pathological spectrum of congenital myopathies.
    • Accurate diagnosis through muscle biopsy and advanced imaging is crucial for patient management and genetic counseling.
    • Further research into the genetic underpinnings and therapeutic strategies for multicore myopathy is warranted.