| Definition
- one of a group of diseases that cause problems
with the tone and contraction of skeletal
muscles
Cause - variety of genetic
defects that affect muscle development and
function, including defects in the gene for
myotubularin, myogenic factor 6 and dynamin
2
Onset - for X-linked, myotubularin-related
myotubular myopathy: infancy; for autosomal
recessive forms: infancy to young adulthood;
for autosomal dominant myogenic factor 6-related
form: late childhood to adulthood; for autosomal
dominant dynamin 2-related form: adolescence
to adulthood
Symptoms - for myotubularin-related
form: profound loss of muscle tone, weakness
of skeletal muscles, respiratory insufficiency,
eye muscle weakness, drooping eyelids; autosomal
recessive forms: weakness mainly in muscles
closer to the center of the body (proximal
muscles), facial weakness with or without
eye muscle weakness; myogenic factor 6-related
form: weakness mainly in muscles closer to
the center of the body (proximal muscles),
leg cramps, sometimes facial, eye muscle or
shoulder muscle weakness; dynamin 2-related
form: weakness mainly in muscles distant from
center of body (distal muscles), and in neck
and abdominal muscles; drooping eyelids; sometimes
eye muscle weakness, facial weakness; normal
respiratory function
Progression - myotubularin-related
form: if respiratory insufficiency compensated
for with ventilation, may survive beyond infancy,
after which weakness appears nonprogressive;
autosomal recessive forms: slow; usually survive
past infancy; myogenic factor 6-related form:
slow; dynamin 2-related form: slow
Inheritance - myotubularin
form is X-linked recessive, meaning primarily
affects boys, who inherit the disease through
their mothers; female carriers may exhibit
some symptoms; some forms are autosomal recessive,
meaning faulty gene must be inherited from
each parent; myogenic factor 6-related and
dynamin 2-related forms are autosomal dominant,
meaning disease results from only one faulty
gene
Facts About Myopathies
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