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Nemaline Myopathy (NM)
Definition - one of a group of diseases that
cause problems with the tone and contraction of skeletal muscles
Cause - variety of genetic defects, each one affecting one of the
filament proteins required for muscle tone and contraction
Onset - congenital to adulthood
Symptoms - weakness and poor tone in the muscles of the face, neck and
upper limbs; often affects respiratory muscles; adults might experience
swallowing, speech problems; scoliosis may occur
Progression - infantile-onset cases are most severe; difficulties with
feeding and respiration resulting from lack of muscle strength and tone may
lead to death; affected children attain motor milestones slowly, might weaken
further at puberty
Inheritance - autosomal dominant, or produced by a defective gene
contributed by one parent; also autosomal recessive, or produced by defective
genes contributed by both parents