Data from a cohort of 219 patients with distal myopathy provide further details on the characteristics of these diseases

Spanish doctors have published the demographic, clinical, genetic and physiological data from the largest cohort of patients with distal myopathy.

  • With 219 patients included, the prevalence of distal myopathy in the Spanish population (in the Valencia region) is estimated at 3.9 per 100,000.
  • The patients often presented with distal or proximodistal motor weakness that appeared in adulthood (at an average age of 29).
  • Pathogenic variants were identified in 68.7% of patients, involving 19 genes, eight of which (MYH7, ANO5, DYSF, TTN, MYOT, HSPB1, GNE and HNRNPDL) were involved in 85% of resolved cases.
  • An overlap between myopathic and neurogenic processes was observed in some patients.

This study provides useful information to facilitate the diagnostic process in these diseases. At the same time, a French publication highlights the value of long-read sequencing techniques based on the case of a family suffering from a late-onset proximal-distal myopathy linked to a duplication of the MYOT gene.

 

Clinical features, mutation spectrum and factors related to reaching molecular diagnosis in a cohort of patients with distal myopathies. Muelas N, Carretero-Vilarroig L., Martí P. et al. J Neurol . 2025 Jan

 

Myotilin gene duplication causing late-onset myotilinopathy. Spinazzi M, Savarese M, Letournel F et al. 9Eur J Neurol . 2025 Jan