Bachmann H, Wagner A
Psychiatr Neurol Med Psychol (Leipz). 1980 Jan;32(1):20-8.
A family is described which displays a typical picture of autosomal-dominant inherited myopathia distalis tarda hereditaria, which is very rare outside Sweden. Three subjects still living who are carriers show, as probable heterozygotes, a very homotypical clinical picture but with distinct participation of the muscles of the proximal extremities and the limb girdles, in some cases also of the mimic muscles, a generalised myogenic disturbance in the EMG and clearly increased CPK activities in the serum. An early diagnosis might be possible from the age of 30, in which the EMG is of prime importance, ahead of clinical microsymptoms and the increase in the CPK activity.
本文描述了一个家族,其呈现出常染色体显性遗传性迟发性远端肌病的典型症状,该病在瑞典以外地区非常罕见。三名在世的携带者,作为可能的杂合子,表现出非常典型的临床症状,但近端肢体和肢体带肌肉明显受累,在某些情况下表情肌也受累,肌电图显示全身性肌源性障碍,血清中肌酸磷酸激酶(CPK)活性明显升高。从30岁起可能做出早期诊断,此时肌电图最为重要,早于临床微症状和CPK活性升高。