Pseudometabolic expression and phenotypic variability of calpain deficiency in two siblings
✍ Scribed by Isabelle Pénisson-Besnier; Isabelle Richard; Frédéric Dubas; Jacques S. Beckmann; Michel Fardeau
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 168 KB
- Volume
- 21
- Category
- Article
- ISSN
- 0148-639X
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✦ Synopsis
Two siblings originating from Reunion Island were affected by a limb-girdle muscular dystrophy (LGMD) type 2A and carried the same two mutations in the calpain gene: 946-1 AG→AA, affecting a splice site, and S744G. They demonstrated the clinical variability possible with calpain-3 mutations. Onset was around 20 years of age in each of them. The girl's symptoms mimicked a metabolic myopathy, while her brother, at the same age, presented a classical phenotype of LGMD in an advanced functional stage.
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We describe 2 sibs with multiple congenital anomalies. The main manifestations include hypoplasia of the corpus callosum and/or cerebellar hypoplasia, Robin sequence, pharyngeal and laryngeal hypoplasia, abnormal ears, excessive neck skin, cardiac defect, and Hirschsprung disease. The presence in 2