Distal myopathy Markesbery–Griggs type
Distal Myopathy Markesbery–Griggs Type is a rare form of muscular dystrophy, specifically classified under the category of distal myopathies. This condition is characterized by the progressive weakness and atrophy of the muscles, particularly affecting those farthest from the center of the body, such as the hands and feet. The disease was first described by Markesbery and Griggs in the late 20th century, marking a significant contribution to the understanding of muscular dystrophies.
Symptoms
The primary symptoms of Distal Myopathy Markesbery–Griggs Type include muscle weakness and wasting in the distal limbs, particularly affecting the lower legs and hands. This can lead to difficulties in walking, gripping, and performing fine motor tasks. Symptoms typically manifest in adulthood and progressively worsen over time. Unlike some other forms of muscular dystrophy, heart and respiratory muscles are usually not affected.
Causes
Distal Myopathy Markesbery–Griggs Type is caused by genetic mutations. The exact genetic mutation responsible for this condition has been the subject of ongoing research. It is believed to be inherited in an autosomal dominant manner, meaning that only one copy of the altered gene in each cell is sufficient to cause the disorder.
Diagnosis
Diagnosis of Distal Myopathy Markesbery–Griggs Type involves a combination of clinical evaluation, family history, and genetic testing. Muscle biopsy may also be performed to examine the muscle tissue for characteristic changes associated with the disease. Electromyography (EMG) and magnetic resonance imaging (MRI) can be used to assess the extent of muscle involvement and differentiate from other muscular dystrophies.
Treatment
There is currently no cure for Distal Myopathy Markesbery–Griggs Type. Treatment focuses on managing symptoms and improving quality of life. Physical therapy and occupational therapy can help maintain muscle strength and flexibility, and assistive devices may be recommended to aid in mobility and daily activities. Regular monitoring by a healthcare team is important to address any complications that may arise.
Prognosis
The prognosis for individuals with Distal Myopathy Markesbery–Griggs Type varies. While the condition is progressive, the rate of progression can differ significantly between individuals. Many people with this condition are able to maintain a relatively active lifestyle with appropriate management and support.
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Contributors: Prab R. Tumpati, MD