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Neurology 2003;60:1854-1857
© 2003 American Academy of Neurology


Brief Communications

Histopathological differences of myotonic dystrophy type 1 (DM1) and PROMM/DM2

A. Vihola, MSc, G. Bassez, MD, G. Meola, MD PhD, S. Zhang, PhD, H. Haapasalo, MD PhD, A. Paetau, E. Mancinelli, PhD, A. Rouche, MSc, J.Y. Hogrel, PhD, P. Laforêt, MD, T. Maisonobe, MD, J.F. Pellissier, MD PhD, R. Krahe, PhD, B. Eymard, MD PhD and B. Udd, MD PhD

From the Department of Neurology (Dr. Udd and A. Vihola), Vaasa Central Hospital, Vaasa, Finland; Myology Institute (Drs. Bassez, Hogrel, Laforêt, and Eymard, A. Rouche), Salpêtrière Hospital, Paris, France; Department of Neurology (Dr. Meola), University of Milan, San Donato Hospital, San Donato Milanese, Milan, Italy; Human Cancer Genetics Program (Drs. Zhang and Krahe), Department of Molecular Virology, Immunology and Medical Genetics, Comprehensive Cancer Center, Ohio State University, Columbus, OH; Department of Pathology (Dr. Haapasalo), Tampere University Hospital, Tampere, Finland; Department of Pathology (A. Paetau), University of Helsinki, Finland; Department of Physiology and General Biochemistry (Dr. Mancinelli), University of Milan, Italy; Department of Neuropathology (Dr. Maisonobe), Salpêtrière Hospital, Paris, France; Department of Pathology and Neuropathology (Dr. Pellissier), La Timone Hospital, Marseilles, France; and Section of Cancer Genetics, Department of Molecular Genetics (Dr. Krahe), University of Texas M.D. Anderson Cancer Center, Houston, TX.

Address correspondence and reprint requests to Dr. Bjarne Udd, Department of Neurology, Vaasa Central Hospital, FIN-65130 Vaasa, Finland; e-mail: Bjarne.Udd{at}vshp.fi

Muscle biopsy findings in DM2 have been reported to be similar to those in DM1. The authors used myosin heavy chain immunohistochemistry and enzyme histochemistry for fiber type differentiation on muscle biopsies. Their results show that DM2 patients display a subpopulation of type 2 nuclear clump and other very small fibers and, hence, preferential type 2 fiber atrophy in contrast to type 1 fiber atrophy in DM1 patients.




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