Inflammation in dysferlin myopathy:: Immunohistochemical characterization of 13 patients

被引:158
作者
Gallardo, E
Rojas-García, R
de Luna, N
Pou, A
Brown, RH
Illa, I
机构
[1] Hosp Santa Creu & Sant Pau, Dept Neurol, UAB, Barcelona 08025, Spain
[2] Hosp Santa Creu & Sant Pau, Neuromuscular Unit, Barcelona 08025, Spain
[3] Hosp Santa Creu & Sant Pau, Lab Expt Neurol, Barcelona 08025, Spain
[4] Univ Autonoma Barcelona, Inst Recerca, HSCSP, E-08193 Barcelona, Spain
[5] Hosp del Mar, Dept Neurol, Barcelona, Spain
[6] Massachusetts Gen Hosp, Day Neuromuscular Res Lab, Charlestown, MA USA
关键词
D O I
10.1212/WNL.57.11.2136
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Inflammation was detected in 9 of 13 patients with different phenotypes of dysferlin myopathy. Endomysial or perivascular infiltrates consisted of 11.1% +/- 6.6% C8(+) cells, 40.6% +/- 22.8% CD4(+) cells, 36.7% +/- 23.7% macrophages, and no B cells. Major histocompatibility complex class I was not upregulated in normal muscle fibers. In young patients with sporadic proximal weakness, very high creatine kinase levels, necrotic fibers and inflammation in the muscle biopsy, a diagnosis of dysferlin myopathy should be considered.
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页码:2136 / 2138
页数:3
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