Review Article

Skeletal Dysplasias Associated with Mild Myopathy—A Clinical and Molecular Review

Table 2

Patient and mutation data were obtained from the European Skeletal Dysplasia Network (ESDN reference numbers) or recent publications, as referenced.

ReferenceFeaturesDiagnosisGeneMutationEffect

ESDN 01071– Fatigue during walkingMEDMATN3D176VPotential misfolding
– Muscle disease suspected by paediatrician

ESDN 01013– Mild proximal muscle weakness at 7 yearsMEDCOL9A2c186G > CExon skipping
– Difficulty rising from squatting position

ESDN 01003– Mild muscle weaknessMEDCOL9A2c186 + 4a > cExon skipping

[68]– Muscle weaknessMEDCOL9A2c186 + 2t > cExon skipping
– Suspected (unproven) muscular dystrophy
– Problems with standing up from sitting position
– Problems walking on stairs
– Biopsy:
 – No morphological or histochemical changes
 – No fibers with central nuclei
 – Variation in fiber size
 – No degradation, regeneration, or necrosis
 – ATP + CrP production from pyruvate
decreased

[68]– Neurological evaluation for abnormal walkingMEDCOL9A2c186G > AExon skipping
pattern at 6 years
– Proximal muscle weakness lower extremities
– Family also affected (father, sister, sister’s
daughter)

[54]– Proximal muscle weakness (reported to theMEDCOL9A3IVS2-1, G > AExon skipping
neuromuscular clinic at 10 years)
– Mildly elevated serum creatine kinase (CK)
levels
– Difficulty walking and climbing stairs from 3
years on
– Difficulty rising from the floor
– Some signs of proximal muscle weakness in
family members
– Muscle biopsy: mild variability in fibre size

ESDN 00385– Some signs of mild myopathyPSACHCOMPD326YPotential retention (T3 domain mutation)
 – Gower's sign (proximal muscle weakness)
 – Waddling gait
 – Difficulties climbing stairs
– CPK normal
ESDN 00430– Reported to neurologist at age 2MEDCOMPE457delPotential retention (T3 domain mutation)
– Diminished muscle strength in:
 – Hips
 – Shoulders
 – Quadriceps muscle
 – Feet-lifting muscles
– Diagnosed with a myopathy at 5 years
– Biopsy inconclusive

[55]– Difficulty walking at 2.5 yearsMEDCOMPD605NPotential misfolding (CTD mutation)
– Muscle weakness
– Tired easily
– Difficulty getting up from sitting
– CK levels normal
– EMG and nerve conduction velocities normal
– Biopsy:
 – Mild myopathy,
 – No variability in fibre size
 – Scattered basophilic fibers
 – Some small atrophic fibers

[53, 55]– Muscle weakness from 3 years onMEDCOMPR718WPotential misfolding (CTD mutation)
– Referred to neuromuscular clinic at 5 years
– Mildly elevated CK levels