Atypical cases of FSHD type 1 sometimes conceal another condition

Researchers in Nice, in collaboration with several European teams, have compiled the clinical and genetic data of 157 patients with facioscapulohumeral muscular dystrophy type 1 (FSHD1) followed at their centre:

  • the vast majority had a phenotype and genotype classified as classic,
  • a small group, reduced to 27, showed clinical atypia,
  • additional studies (whole exome, mitochondrial genome study, search for triplet diseases) were carried out,
  • in nine cases, a non-genetic cause was found (acquired neuropathy or radiculopathy),
  • in fourteen other cases, several neurological diseases were identified, such as Huntington’s disease, several cases of myotonic dystrophy (type 1 and also type 2), one case of calpainopathy and two cases of mitochondropathy.

The question remains as to whether these are simply coincidental co-morbidities or not.

 

Double trouble: a comprehensive study into unrelated genetic comorbidities in adult patients with Facioscapulohumeral Muscular Dystrophy Type I. Puma A, Tammam G, Ezaru A et al. Eur J Hum Genet. 2025 Jan.