Table 1

Classification and distinguishing features of the major forms of distal myopathies

NonakaMiyoshiLaingWelanderFinnish (Udd)Markesbery-Griggs
InheritanceAR/sporadicAR/sporadicADADADAD
Gene loci9p1-q12p12-1414q112p132q31-332q31-33
Age at onset (y)20–3015–304–25>40>3525–50
Site of onsetLegsLegsLegsHandsLegsLegs
Leg compartmentAnterior > posteriorPosteriorAnteriorAnteriorAnteriorAnterior
Proximal weakness+ (late)+ (late)1-150 ++1-151 + (late)1-152 + (late)
Neck weakness++ (late)+
Serum creatine kinase<X5 NX10-100 N<X3 NN or mild ↑N or mild ↑X2-5 N
EMG:
 Myopathic++++++
 Spontaneous activity++++++
Biopsy:
 RVs and TFIs+++?
 Fibre necrosis++++
  • 1-150 Allelic with LGMD2B.

  • 1-151 Some families.

  • 1-152 Limb girdle phenotype in some individuals.

  • RVs=Rimmed vacuoles, TFIs=tubulofilamentous inclusions, AR=autosomal recessive, AD=autosomal dominant, N= normal.