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ABSTRACT: Rationale
Limb-girdle muscular dystrophy (LGMD) is a genetic disease, which is characterized by muscle atrophy and weakness mainly involving proximal muscles. Accurate diagnosis of LGMD patient is very important for the appropriate management and long-term prognosis.Patient concerns
An 18-year-old woman presented with progressive weakness of limbs, persistent elevated serum creatine kinase, myogenic damages in electromyography, and dysferlin protein deficiency in muscle biopsy. Further next-generation sequencing (NGS) revealed a compound heterozygous variant in dysferlin gene (DYSF), including a novel frameshift variant of c.4010delT.Diagnosis
The patient was diagnosed with LGMD2B clinically and genetically.Interventions
Oral levocarnitine and coenzyme Q10 were prescribed to the patient.Outcomes
After symptomatic treatments for 1 week, the patient's symptoms were not improved.Lessons
NGS might be a helpful tool for the diagnosis of LGMD. A novel variant of c.4010delT in DYSF was identified in this case, which broadens the genetic spectrum of LGMD2B.
SUBMITTER: Li Q
PROVIDER: S-EPMC7544278 | biostudies-literature | 2020 Oct
REPOSITORIES: biostudies-literature
Li Qiao Q Tan Cheng C Chen Jiajun J Zhang Lei L
Medicine 20201001 41
<h4>Rationale</h4>Limb-girdle muscular dystrophy (LGMD) is a genetic disease, which is characterized by muscle atrophy and weakness mainly involving proximal muscles. Accurate diagnosis of LGMD patient is very important for the appropriate management and long-term prognosis.<h4>Patient concerns</h4>An 18-year-old woman presented with progressive weakness of limbs, persistent elevated serum creatine kinase, myogenic damages in electromyography, and dysferlin protein deficiency in muscle biopsy. F ...[more]