A rare structural myopathy: Nemaline myopathy Nadir bir yapisal miyopati: Nemalin miyopatisi


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Yeşilbaş O., Şevketoğlu E., Kihtir H. S., Ersoy M., Petmezci M. T., Akkuş C. H., ...Daha Fazla

Turk Pediatri Arsivi, cilt.54, sa.1, ss.49-52, 2019 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 54 Sayı: 1
  • Basım Tarihi: 2019
  • Doi Numarası: 10.5152/turkpediatriars.2018.4402
  • Dergi Adı: Turk Pediatri Arsivi
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.49-52
  • Anahtar Kelimeler: ACTA1 gene, hypotonia, muscle biopsy, nemaline myopathy, respiratory failure
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

© 2019 by Turkish Pediatric Association.Nemaline myopathy, which is characterized by the accumulation of '‘rod’' bodies in muscle fibers is a very rare inherited muscle disease. According to the underlying mutation, the disease has varying severity of clinical outcomes. Patients with severe forms of the disease die because of hypotonia, feeding difficulties, aspiration pneumonia, and respiratory failure in the neonatal or infancy period. Mild forms of the disease present with walkingswallowing difficulties and respiratory distress in late childhood or adulthood. A two-and-a-half-month-old boy was monitored in our Pediatric Intensive Care Unit with hypotonia, pneumonia, and respiratory distress. Nemaline myopathy was diagnosed as the result of a muscle biopsy. An advanced molecular examination revealed heterozygous mutations in the skeletal muscle a-actin (ACTA1) gene, which is the second most common cause of this disease. Nemaline myopathy should be kept in mind in patients of all age groups with respiratory failure and walking difficulty secondary to muscle weakness.