RESUMEN

Primary dysferlinopathies are a group of recessive heterogeneous muscular dystrophies. The most common clinical presentations are Miyoshi myopathy and LGMD2B. Additional presentations range from isolated hyperCKemia to severe functional disability. Symptomatology begins in the posterior muscle compartment of the calf and its clinical course progresses slowly in Miyoshi myopathy whereas LGMD2B involves predominantly the proximal muscles of the lower limbs. The age of onset ranges from 13 to 60years in Caucasians. We present five patients that carry a novel mutation in the exon12/intron12 boundary: c.1180_1180+7delAGTGCGTG (r.1054_1284del). We provide evidence of a founder effect due to a common ancestral origin of this mutation, detected in heterozygosity in four patients and in homozygosity in one patient.

Asunto(s)

Emigración e Inmigración , Proteínas de la Membrana/genética , Proteínas Musculares/genética , Distrofias Musculares/etnología , Distrofias Musculares/genética , Mutación/genética , Adulto , Análisis Mutacional de ADN , Disferlina , Femenino , Haplotipos , Humanos , Masculino , Microscopía Electrónica de Transmisión , Persona de Mediana Edad , Músculo Esquelético/patología , Músculo Esquelético/ultraestructura , Distrofias Musculares/patología , América del Sur/etnología , Adulto Joven