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Case Reports in Neurological Medicine
Volume 2012 (2012), Article ID 726984, 3 pages
http://dx.doi.org/10.1155/2012/726984
Case Report

Elderly Onset of Weakness in Facioscapulohumeral Muscular Dystrophy

Department of Neurology, University of Kentucky Chandler Medical Center, Lexington, KY 40536, USA

Received 7 June 2012; Accepted 23 August 2012

Academic Editors: A. E. Cavanna and J. E. Cohen

Copyright © 2012 Dominic B. Fee. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 77-year-old male is presented. He had onset of proximal weakness 10 years earlier. His course was slowly progressive. Despite having phenotypic features of facioscapulohumeral muscular dystrophy (FSH), genetic testing for this was delayed because of his age of onset, lack of family history, and benign appearing muscle biopsy. This case is one of the oldest onset of weakness in genetically confirmed FSH and highlights the recognized expansion in phenotype that has occurred since the advent of genetic testing.