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NEUROLOGY 1988;38:5
© 1988 American Academy of Neurology

Clinical and genetic investigation in autosomal dominant limb-girdle muscular dystrophy

James M. Gilchrist, MD, Margaret Pericak-Vance, PhD, Larry Silverman, PhD and Allen D. Roses, MD

Division of Neurology (Drs. Gilchrist, Pericak-Vance, and Roses), Duke University Medical Center, Durham, and the Department of Pathology (Dr. Silverman), University of North Carolina, Chapel Hill, NC.

Limb-girdle muscular dystrophy is a syndrome of progressive myopathic weakness affecting shoulder and hip girdle and proximal arm and leg muscles. The disease occurs either sporadically or inherited as an autosomal recessive trait. Autosomal dominant inheritance is rare. We report a large family with apparent autosomal dominant inheritance. Sixteen members were affected with a disease characterized by proximal weakness, leg greater than arm, onset in the third decade, elevated CK and CK MB levels, and myopathic EMGs and muscle biopsies. Linkage analysis revealed no conclusive linkage.

Address correspondence and reprint requests to Dr. Gilchrist, Department of Neurology, 110 Lockwood Street, Providence, RI 02903.

Supported in part by RR-30, Division of Research Resources, General Clinical Research Center Program, National Institutes of Health; a Clinical Research grant from the Muscular Dystrophy Association; a Task Force on Genetics grant from the Muscular Dystrophy Association; and the Denver Fund for Health and Medical Research.

Received December 11, 1986. Accepted for publication in final form March 17, 1987.




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