Common recessive limb girdle muscular dystrophies differential diagnosis: why and how?

Arquivos de Neuro-Psiquiatria

Ana Cotta¹  Elmano Carvalho¹  Antonio Lopes Da-cunha-júnior¹  Júlia Filardi Paim¹  Monica M. Navarro¹  Jaquelin Valicek¹  Miriam Melo Menezes¹  Simone Vilela Nunes¹  Rafael Xavier Neto¹  Reinaldo Issao Takata¹  Antonio Pedro Vargas¹ 

关键词: muscular dystrophies;    ultrasonography;    biopsy;    magnetic resonance imaging;    neuromuscular diseases;    distrofias musculares;    ultrassonografia;    biópsia;    imagem por ressonância magnética;    doenças neuromusculares;   

DOI  :  10.1590/0004-282X20140110

来源: SciELO

【 摘 要 】

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.

【 授权许可】

CC BY   
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