2014
DOI: 10.1159/000360730
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A Novel<b> </b>Mutation of the <b><i>GNE</i></b> Gene in Distal Myopathy with Rimmed Vacuoles: A Case with Inflammation

Abstract: Distal myopathy with rimmed vacuoles (DMRV) is an autosomal recessive or sporadic early adult-onset myopathy caused by mutations in the UDP-N-acetylglucosamine 2-epimerase and N-acetylmannosamine kinase (GNE) gene. Characteristic pathologic features of DMRV are rimmed vacuoles on muscle biopsy and tubulofilamentous inclusion in ultrastructural study. Presence of inflammation in DMRV is unusual. We report a sporadic case of DMRV in a 40-year-old Thai man who presented with slowly progressive distal muscle weakn… Show more

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Cited by 6 publications
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“…Other hallmarks of GNEM are the finding of rimmed vacuoles in affected muscles [ 60 , 63 ], an onset in early adulthood [ 62 , 64 ], and a quite slow progression of the disease [ 8 , 65 ]. GNEM-triggered inflammatory changes are not typical features of this disease [ 60 , 63 , 66 ], although there are confirmed exceptions to this statement [ 67 , 68 , 69 ].…”
Section: Introductionmentioning
confidence: 99%
“…Other hallmarks of GNEM are the finding of rimmed vacuoles in affected muscles [ 60 , 63 ], an onset in early adulthood [ 62 , 64 ], and a quite slow progression of the disease [ 8 , 65 ]. GNEM-triggered inflammatory changes are not typical features of this disease [ 60 , 63 , 66 ], although there are confirmed exceptions to this statement [ 67 , 68 , 69 ].…”
Section: Introductionmentioning
confidence: 99%
“…This disorder was initially described as a distal myopathy in Japanese [ 3 ], and as a quadriceps sparing myopathy in Iranian Jews [ 4 ], associated with rimmed vacuoles on muscle biopsy. However, the phenotype and histopathological features seem to be more heterogeneous than initially expected, as limb-girdle presentation [ 5 ] as well as cases with histological inflammation [ 6, 7 ] or without rimmed vacuoles [ 8 ] associated to GNE myopathy have been reported.…”
Section: Introductionmentioning
confidence: 99%