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From the Department of Neurology (Drs. Nishigaki, Bonilla, Shanske, DiMauro, and Hirano), Columbia University College of Physicians and Surgeons, New York, NY; and Department of Pathology (Dr. Gaskin), University of CaliforniaSan Francisco.
Address correspondence and reprint requests to Dr. Michio Hirano, Columbia University College of Physicians and Surgeons, 630 W. 168 St., P&S 4-443, New York, NY 10032; e-mail: mh29{at}columbia.edu
A 42-year-old woman presented with myopathy and without a family history of neuromuscular disorder. Muscle biopsy showed ragged red fibers and reduced activities of mitochondrial respiratory chain enzyme complexes I, III, and IV. Analysis of mitochondrial DNA revealed a heteroplasmic T10010C mutation in the transfer RNA glycine gene.
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