Demographic Data |
Relation to Proband |
proband |
Age at Sampling |
30 YR |
Sex |
Female |
Age of Onset(If not a control) |
19 YR |
Age at Diagnosis(If not a control) |
29 YR |
Hispanic or Latino/Not Hispanic or Latino |
Hispanic/Latino |
Racial Category |
White |
Country |
USA |
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Data Elements |
Clinical Element Type: General NIGMS Catalog Remarks |
(Baseline) |
Mutation Information |
Gene, variant, consequence, and exon number: |
COL6A3, C.5590G>A (P.A1864T), MISSENSE, EXON 12 |
Zygosity: |
Heterozygous |
Age of Symptom Onset and Age at Diagnosis |
Age of Symptom Onset: |
19 YEARS |
Age at Diagnosis: |
29 YEARS |
In Utero History Information |
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Birth History Information |
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Dysmorphic Features |
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Neurological Symptoms |
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Optical and Audiological Symptoms |
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Musculoskeletal Symptoms |
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Additional Information: |
GENERALIZED MUSCLE WEAKNESS
MILD PIP ENLARGEMENT OVER RIGHT HAND
SEVERELY ABNORMAL MATURE SKELETON MUSCLE WITH EVIDENCE OF A CHRONIC NECROBIOTIC MYOPATHIC PROCESS WITH SOME INFLAMMATORY FEATURES |
Developmental Milestones |
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Gastrointestinal Symptoms |
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Genitourinary Symptoms |
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Respiratory and Cardiovascular Symptoms |
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Breathing irregularities
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Additional Information: |
DIFFICULTY BREATHING AT NIGHT
CHEST TENDERNESS ON PALPATION |
Cognitive and Behavioral Symptoms |
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Anxiety
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Additional Information |
Testing Performed |
Neurological Testing: |
BICEP MUSCULAR WEAKNESS 4+/5, TRICEP 5-/5 MUSCULATURE, HIP FLEXOR WEAKNESS 4+/5, QUADRACEPT MUSCLE STRENGTH 4-/5, HAMSTRING STRENGTH 5/5, DISTAL UPPER AND LOWER EXTREMITY MUSCULATURE 5/5, REDUCED REFLEX IN RIGHT HEAL AND PATELLAR REFLEX. |
Musculoskeletal and Developmental Testing: |
MUSCLE BIOPSY: SCATTERED MYOFIBERS IN VARYING STAGES OF DEGENERATION; RELATIVELY RARE SDH POSITIVE MYOFIBERS; SCATTERED CD3 POSITIVE LYMPHOCYTES; SMALL TO MODERATE NUMBERS OF CD68/HISTIOCYTIC CELLS
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Metabolic, Hematologic, and Endocrinologic Testing: |
CK: 11,000 (AGE 19), 3485 (AGE 27), 1900 (AGE 29)
AST: 83 (AGE 27) - HIGH
ALT: 170 (AGE 27) - HIGH
ALDOLASE: 21.9 (AGE 27) - HIGH |
Treatments and Assistive Devices |
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Physical therapy
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Additional Testing: |
SWIMMING |
Medications |
Family History |
Remarks |
Clinically affected; onset of symptoms at 19 years of age; generalized muscle weakness; polymyositis; episodes of tripping and falling; difficulty raising leg; difficulty keeping hands above head; difficulty walking upstairs; discomfort over the deltoid musculature while working on the computer. |