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J Electrodiagn Neuromuscul Dis > Volume 21(1); 2019 > Article
J Korean Assoc EMG Electrodiagn Med 2019;21(1):7-11.
DOI: https://doi.org/10.18214/jkaem.2019.21.1.7    Published online June 30, 2019.
Limb-Girdle Muscular Dystrophy Type 2A (Calpainopathy) with Axial Muscle Weakness Mimicking Spondyloarthropathy: A Case Report
Received: 10 May 2018   • Revised: 25 May 2018   • Accepted: 26 February 2019
Abstract
Limb-girdle muscular dystrophy (LGMD) is a hereditary myopathy characterized by weakness and wasting of pelvic girdle musculature. Herein, we report the case of a 51-year-old man with an unremarkable past medical history who presented with insidious onset of weakness in his back and proximal lower extremities. Clinical findings and electrodiagnostic tests were consistent with myopathy. Exome sequencing detected a mutation in calpain-3 ( CAPN3 ), which confirmed the diagnosis of LGMD 2A. Through a review of less typical case of LGMD 2A, we confirmed that the severity and onset of symptoms may vary according to the quantity of CAPN3 expressed in patients with mutations in CAPN3
Key Words: limb-girdle muscular dystrophy, limb-girdle muscular dystrophy type 2A, calpainopathy
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