Pauzner R, Blatt I, Mouallem M, Ben-David E, Farfel Z, Sadeh M
Department of Internal Medicine E, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Muscle Nerve. 1991 Oct;14(10):947-52. doi: 10.1002/mus.880141004.
A family with oculopharyngeal muscular dystrophy (OPMD) is described. Histological and histochemical studies of muscle biopsy showed nonspecific myopathic changes; no "ragged-red" fibers were seen. Electron microscopy demonstrated bizarre large mitochondria with abnormal cristae, but no intranuclear inclusion bodies. Our findings are compatible with the possibility that OPMD is a heterogeneous syndrome, and may be a manifestation of mitochondrial myopathy.