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Caveolinopathy pesenting with excercise induced stiffness and transient muscle mounding

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초록

Rippling muscle disease (RMD) is caused by dominant mutations of the caveolin-3 gene (CAV3), and presents with overlapping limb-girdle muscle weakness, elevated creatine kinase (hyperCKemia), RMD, and distal myopathy. We report a patient with a CAV3 mutation who presented with myalgia, exercise-induced muscle stiffness, hyperCKemia, and percussion-induced rapid muscle contraction and muscle mounding. A familial genetic study revealed the same mutation in two family members, with physical examinations showing that both of them had rippling muscles.

Abstract

Rippling muscle disease (RMD) is caused by dominant mutations of the caveolin-3 gene (CAV3), and presents with overlapping limb-girdle muscle weakness, elevated creatine kinase (hyperCKemia), RMD, and distal myopathy. We report a patient with a CAV3 mutation who presented with myalgia, exercise-induced muscle stiffness, hyperCKemia, and percussion-induced rapid muscle contraction and muscle mounding. A familial genetic study revealed the same mutation in two family members, with physical examinations showing that both of them had rippling muscles.

참고문헌 (10)

  1. Woodman SE, "Caveolinopathies : mutations in caveolin-3 cause four distinct autosomal dominant muscle diseases", Neurology, 62, pp.538~543 (2004)
  2. Burns RJ, "Benign familial disease with muscle mounding and rippling", J Neurol Neurosurg Psychiatry, 57, pp.344~347 (1994)
  3. Minetti C, "Mutations in the caveolin-3 gene cause autosomal dominant limb-girdle muscular dystrophy", Nat Genet, 18, pp.365~368 (1998)
  4. Stenson PD, "The human gene mutation database(HGMD®) : optimizing its use in a clinical diagnostic or research setting", Hum Genet, 139, pp.1197~1207 (2020)
  5. Straub V, "229th ENMC international workshop : limb girdle muscular dystrophies-nomenclature and reformed classification Naarden, the Netherlands, 17-19 March 2017", Neuromuscul Disord, 28, pp.702~710 (2018)
  6. Gazzerro E, "Caveolinopathies : from the biology of caveolin-3 to human diseases", Eur J Hum Genet, 18, pp.137~145 (2010)
  7. Tsutsumi YM, "Cardiac-specific overexpression of caveolin-3 induces endogenous cardiac protection by mimicking ischemic preconditioning", Circulation, 118, pp.1979~1988 (2008)
  8. Nixon SJ, "Zebrafish as a model for caveolin-associated muscle disease; caveolin-3 is required for myofibril organization and muscle cell patterning", Hum Mol Genet, 14, pp.1727~1743 (2005)
  9. Berling E, "Caveolinopathy : clinical, histological, and muscle imaging features and follow-up in a multicenter retrospective cohort", Eur J Neurol, 30, pp.2506~2517 (2023)
  10. Maki T, "Rippling is not always electrically silent in rippling muscle disease", Muscle Nerve, 43, pp.601~605 (2011)

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