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autosomal recessive limb-girdle muscular dystrophy type 2W

Description

Autosomal Recessive Limb-Girdle Muscular Dystrophy Type 2W (LGMD2W) is a subtype of autosomal recessive limb girdle muscular dystrophy characterized by childhood onset of severe, progressive, proximal skeletal muscle weakness [2]. This form of the disorder typically affects individuals who have inherited two copies of the mutated gene, one from each parent.

The symptoms of LGMD2W may include:

  • Weakness and atrophy in the muscles of the pelvic girdle
  • Difficulty walking or standing due to muscle weakness
  • Progressive muscle degeneration over time

LGMD2W is a rare form of muscular dystrophy, and its exact prevalence is unknown. However, it is considered one of the more severe forms of autosomal recessive limb-girdle muscular dystrophy.

It's worth noting that LGMD2W is a genetic disorder, and its symptoms can vary in severity from person to person. Early diagnosis and treatment are essential for managing the condition and slowing down muscle degeneration [1].

References: [1] - Not available in context [2] - Context 2

Additional Characteristics

  • Weakness and atrophy in the muscles of the pelvic girdle
  • Difficulty walking or standing due to muscle weakness
  • Progressive muscle degeneration over time

Signs and Symptoms

Autosomal recessive limb-girdle muscular dystrophy type 2 (LGMD2) is a genetic disorder that affects the muscles around the shoulders and hips. The signs and symptoms of LGMD2 can vary from person to person, but here are some common ones:

  • Muscle weakness: This is one of the earliest and most common symptoms of LGMD2. People with this condition often experience weakness in their hip and thigh muscles, which can make it difficult to walk or stand.
  • Wasting of calf muscle: As the disease progresses, people with LGMD2 may notice wasting (loss of muscle bulk) in their calf muscles.
  • Progressive muscle atrophy: Over time, the muscles affected by LGMD2 will continue to weaken and shrink, leading to progressive muscle atrophy.
  • Joint stiffness: Some people with LGMD2 may develop joint stiffness (contractures) that can restrict movement in their hips, knees, ankles, or elbows.
  • Muscle overgrowth: In some cases, the calf muscles may become enlarged (hypertrophic), which can be a sign of LGMD2.

It's worth noting that the age at which symptoms appear and the speed at which they progress can vary significantly from person to person. Some people with LGMD2 may experience symptoms in childhood or adolescence, while others may not develop symptoms until adulthood.

References:

  • [1] Muscle weakness is a common symptom of LGMD2 (Source: #8)
  • [2] Wasting of calf muscle is a characteristic feature of LGMD2 (Source: #8)
  • [3] Progressive muscle atrophy is a hallmark of LGMD2 (Source: #3)
  • [4] Joint stiffness can be a complication of LGMD2 (Source: #4)
  • [5] Muscle overgrowth can occur in some cases of LGMD2 (Source: #4)

Additional Symptoms

  • Progressive muscle atrophy
  • Joint stiffness
  • Wasting of calf muscle
  • Muscle overgrowth
  • muscle weakness

Diagnostic Tests

Autosomal recessive limb-girdle muscular dystrophy type 2W (LGMD2W) is a rare genetic disorder that affects the muscles around the hips and shoulders. Diagnostic tests for LGMD2W are crucial in confirming the diagnosis and ruling out other conditions with similar symptoms.

Clinical Genetic Tests

According to search result [3], PreventionGenetics, part of Exact Sciences, offers clinical genetic testing for various conditions, including autosomal recessive limb-girdle muscular dystrophy type 2W. This test analyzes genes associated with LGMD2W, such as the TRIM32 gene.

Creatine Kinase Testing

Search result [5] mentions that creatine kinase (CK) testing is a useful diagnostic aid for autosomal recessive limb-girdle muscular dystrophies, including LGMD2W. Extremely high CK levels are often associated with this condition.

Muscle Biopsy and Blood Sample Analysis

In some cases, complex tests may be needed to determine the cause of LGMD2W in an individual. This may involve examining a muscle biopsy and analyzing a blood sample (search result [15]).

Genetic Analysis and Protein Testing

The diagnostic process for LGMD2W typically involves integrating clinical analysis, protein testing, and genetic analysis, which is often focused in specialized centers (search results [12] and [14]). This comprehensive approach helps confirm the diagnosis and rule out other conditions with similar symptoms.

In summary, diagnostic tests for autosomal recessive limb-girdle muscular dystrophy type 2W may include clinical genetic tests, creatine kinase testing, muscle biopsy and blood sample analysis, and genetic analysis and protein testing. These tests help confirm the diagnosis and provide valuable information for treatment and management of the condition.

References:

[3] Clinical Genetic Test offered by PreventionGenetics [5] Aug 15, 2019 โ€” Creatine kinase testing aids diagnosis. [12] by K Bushby ยท 2007 ยท Cited by 46 โ€” Diagnosis therefore relies on a combination of clinical assessment, specialised muscle immunoanalysis and genetic testing. [14] The diagnostic process therefore needs to integrate clinical analysis, protein testing and genetic analysis, which is focused in specialized centres.

Additional Diagnostic Tests

  • Genetic Analysis
  • Muscle Biopsy
  • Clinical Genetic Tests
  • Protein Testing
  • Creatine Kinase Testing

Treatment

Based on the search results, it appears that there are limited treatment options available for autosomal recessive limb-girdle muscular dystrophy type 2W.

  • Currently, there is no specific treatment for LGMD2A (which seems to be a subtype of autosomal recessive limb-girdle muscular dystrophy) [8]. However, careful management of the symptoms can improve a person's quality of life.
  • Treatment involves managing symptoms with various strategies, such as physical therapy, assistive devices, and medications [10].
  • Aggressive supportive care is essential for LGMD syndromes, but no specific treatment is available [12].

It's worth noting that there are ongoing research efforts to develop new treatments for limb-girdle muscular dystrophies. For example, a study published in 2023 explored the potential of stem-cell transplantation and exon skipping as treatments for LGMDs [3]. However, these treatments are still in the experimental stage.

In terms of drug treatment specifically for autosomal recessive limb-girdle muscular dystrophy type 2W, there is limited information available. A database called Chemotext allows users to query text-based drug-target-disease relationships, but it does not provide specific information on treatments for this subtype [9].

Overall, while there are some general treatment strategies that can be employed to manage symptoms of autosomal recessive limb-girdle muscular dystrophy type 2W, there is currently no specific drug treatment available for this condition.

Recommended Medications

  • Medications
  • Physical therapy
  • Assistive devices

๐Ÿ’Š Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.

Differential Diagnosis

Autosomal recessive limb-girdle muscular dystrophy (LGMD) type 2W is a rare form of LGMD that is inherited in an autosomal recessive pattern. To determine the differential diagnosis for this condition, it's essential to consider the genetic and protein analysis findings.

Key Diagnostic Features:

  • Autosomal recessive inheritance pattern [5]
  • Requires two mutations, one from each parent, for symptoms to appear [5]
  • Progressive weakness with onset in the proximal limb girdle muscles [7]

Differential Diagnosis Considerations:

  • Sarcoglycanopathies: Muscle immunoanalysis can predict the genotype and help differentiate LGMD type 2W from other forms of autosomal recessive LGMDs [4]
  • Genetic counseling is crucial for families with a history of LGMD type 2W, as it can provide valuable information on the risk of transmission to offspring [6]

Other Forms of Autosomal Recessive LGMD:

  • LGMD type 2G: Caused by a transcription-terminating mutation in telethonin, which can be distinguished from LGMD type 2W through genetic and protein analysis [2]
  • LGMD type 2H: Associated with mutations in the TRIM32 gene, which may also require differential diagnosis to rule out other forms of autosomal recessive LGMDs [8]

Recent Developments:

  • The LGMD R group includes LGMDs that are inherited in an autosomal recessive pattern, such as LGMD type 2W. These conditions can be distinguished from each other through genetic and protein analysis [9]

In conclusion, the differential diagnosis of autosomal recessive limb-girdle muscular dystrophy type 2W involves considering the genetic and protein analysis findings, as well as other forms of autosomal recessive LGMD. A thorough understanding of these factors is essential for accurate diagnosis and management.

References: [1] Not applicable [2] Context result 2 [3] Not applicable [4] Context result 4 [5] Context result 5 [6] Context result 6 [7] Context result 7 [8] Context result 8 [9] Context result 9

Additional Differential Diagnoses

  • Sarcoglycanopathies
  • LGMD type 2G (telethonin mutation)
  • LGMD type 2H (TRIM32 gene mutation)

Additional Information

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