Late-onset facio-scapulo-humeral muscular dystrophy constitutes a distinct group

An international consortium of experts on facioscapulohumeral muscular dystrophy (FSHD) has compiled observations from patients diagnosed at a relatively advanced age:

  • using clinical and biological data from a previous clinical trial called RESOLVE, the group identified 41 patients with late-onset FSHD,
  • many of whom were female, with an average age of 65,
  • with muscle weakness generally beginning in the lower limbs,
  • whilst their genotype showed a longer residual D4Z4 repeat fragment.

These observations suggest that this population of FSHD patients should be categorised as a distinct group, requiring special attention in terms of both assessment and management.

 

Late-onset facioscapulohumeral muscular dystrophy defines a distinct clinical subgroup. Tammam G, Dhifallah S, Yang H et al. Late-onset facioscapulohumeral muscular dystrophy defines a distinct clinical subgroup. Neuromuscul Disord. 2026 Mar 12;62:106410.