De Visser M
J Neurol Sci. 1983 Jun;59(3):331-9. doi: 10.1016/0022-510x(83)90018-7.
This report describes the clinical, laboratory, electromyographic, histopathological and computed tomographic studies of three patients suffering from sporadic distal myopathy. The most conspicuous features were: early onset in adulthood, weakness first affecting the distal leg muscles, marked elevation of serum creatine kinase (CK) activity, and electromyographic and histopathological findings predominantly consistent with myopathy. Computed tomographic examination of the skeletal musculature revealed that the most extensive changes were in the distal muscles of the legs. However, some proximal muscles also appeared to be involved, both clinically and radiologically. One conspicuous finding in all patients was the presence of marked low density abnormalities in the gluteus minimus muscles.
本报告描述了三名散发性远端肌病患者的临床、实验室、肌电图、组织病理学和计算机断层扫描研究。最显著的特征是：成年早期发病，肌无力首先影响小腿远端肌肉，血清肌酸激酶（CK）活性显著升高，以及肌电图和组织病理学检查结果主要符合肌病表现。对骨骼肌进行计算机断层扫描检查发现，最广泛的变化发生在小腿远端肌肉。然而，一些近端肌肉在临床和影像学上似乎也有受累。所有患者的一个显著发现是臀小肌存在明显的低密度异常。
