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先天性肌病:印度北部一家三级医疗医院10例病例的临床病理研究

Congenital Myopathies: A Clinicopathological Study of 10 Cases in a Tertiary Care Hospital of North India.

作者信息

Maheshwari Siddharth, Pant Ishita, Bala Kiran, Paradasani Vibhor

机构信息

Department of Neurology, Institute of Human Behaviour & Allied Sciences, Delhi, India.

Department Neuropathology, Institute of Human Behaviour & Allied Sciences, Delhi, India.

出版信息

J Pediatr Neurosci. 2021 Jul-Sep;16(3):184-195. doi: 10.4103/jpn.JPN_32_20. Epub 2021 Oct 11.

Abstract

OBJECTIVE

Congenital myopathies (CMs) are rare neuromuscular disorders. Through this article, authors want to present a clinicopathological study of 10 cases of CM.

MATERIALS AND METHODS

The study included patients with histopathologically confirmed CM attending the neurology services at the Institute of Human Behavior and Allied Sciences for 2 years. After collecting the demographic data, all patients were subjected to comprehensive workup including a detailed neurological examination and investigations, including muscle biopsy from representative involved muscle.

RESULTS

Ten patients diagnosed with CM. The most common CM type was congenital fiber-type disproportion (CFTD) seen in four cases followed by centronuclear myopathy in two cases and one each in desmin-related myopathy, central core disease, nemaline myopathy, CM with type II fiber hypoplasia. Clinically, they have variable features.

CONCLUSION

This study from India highlights the importance of specific clinical features to look for when suspecting a CM coupled with specific features in histopathology. However, studies with longer duration are needed to find out the true prevalence and various spectra of CMs.

摘要

目的

先天性肌病(CMs)是罕见的神经肌肉疾病。通过本文,作者希望展示10例CM的临床病理研究。

材料与方法

该研究纳入了在人类行为与联合科学研究所神经科就诊2年、经组织病理学确诊为CM的患者。收集人口统计学数据后,所有患者均接受了全面检查,包括详细的神经系统检查和各项检查,包括从代表性受累肌肉进行肌肉活检。

结果

确诊10例CM。最常见的CM类型是先天性纤维类型不均(CFTD),有4例,其次是中央核肌病2例,结蛋白相关肌病、中央轴空病、杆状体肌病、伴有II型纤维发育不全的CM各1例。临床上,它们具有不同的特征。

结论

这项来自印度的研究强调了在怀疑CM时寻找特定临床特征以及组织病理学中特定特征的重要性。然而,需要进行更长期的研究以查明CM的真实患病率和各种类型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6699/9496603/ae34f2e3a459/JPN-16-184-g001.jpg

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