Serial case report: Becker’s muscular dystrophy phenotype with dilated cardiomyopathy in patients with out-of-frame deletion involving exons 38-43 of DMD gene

Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are X-linked recessive allelic muscular dystrophies due to mutations of the DMD gene, showing more severe and milder phenotype, respectively. Here we present, two brothers, ages 23 years old (case 1) and 19 years old (case 2) who...

Full description

Bibliographic Details
Main Authors: Rahmawati, P.L., Wijayanti, I.A.S., Arimbawa, I.K., Purwata, T.E., Putra, I.P., Sumadi, I.W.J., Wiratnaya, G.E., Antara, I.M.P.S., Dwianingsih, E.K.
Format: Article
Language:English
Published: 2021
Subjects:
Online Access:https://repository.ugm.ac.id/279114/1/neuroasia-2021-26%281%29-153.pdf
_version_ 1826050382279737344
author Rahmawati, P.L.
Wijayanti, I.A.S.
Arimbawa, I.K.
Purwata, T.E.
Putra, I.P.
Sumadi, I.W.J.
Wiratnaya, G.E.
Antara, I.M.P.S.
Dwianingsih, E.K.
author_facet Rahmawati, P.L.
Wijayanti, I.A.S.
Arimbawa, I.K.
Purwata, T.E.
Putra, I.P.
Sumadi, I.W.J.
Wiratnaya, G.E.
Antara, I.M.P.S.
Dwianingsih, E.K.
author_sort Rahmawati, P.L.
collection UGM
description Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are X-linked recessive allelic muscular dystrophies due to mutations of the DMD gene, showing more severe and milder phenotype, respectively. Here we present, two brothers, ages 23 years old (case 1) and 19 years old (case 2) who presented with clinical symptoms typically associated with BMD, including dilated cardiomyopathy in the first case and mild cardiac enlargement in the second. Muscle symptoms were moderate enabling independent ambulation of both patients until the present. Dystrophin protein was patchy on immunohistochemistry staining confirming the diagnosis of BMD. However, genetic analysis using Multiple Ligation-dependent Probe Amplification (MLPA) identified out-of-frame deletions involving exons 38-43 of the DMD gene in both cases. Here, we report a case series with an exception to the reading frame rule due to mutations affecting the central rod domain of the DMD gene. © 2021, ASEAN Neurological Association. All rights reserved.
first_indexed 2024-03-14T00:03:05Z
format Article
id oai:generic.eprints.org:279114
institution Universiti Gadjah Mada
language English
last_indexed 2024-03-14T00:03:05Z
publishDate 2021
record_format dspace
spelling oai:generic.eprints.org:2791142023-11-02T02:35:13Z https://repository.ugm.ac.id/279114/ Serial case report: Becker’s muscular dystrophy phenotype with dilated cardiomyopathy in patients with out-of-frame deletion involving exons 38-43 of DMD gene Rahmawati, P.L. Wijayanti, I.A.S. Arimbawa, I.K. Purwata, T.E. Putra, I.P. Sumadi, I.W.J. Wiratnaya, G.E. Antara, I.M.P.S. Dwianingsih, E.K. Neurosciences Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are X-linked recessive allelic muscular dystrophies due to mutations of the DMD gene, showing more severe and milder phenotype, respectively. Here we present, two brothers, ages 23 years old (case 1) and 19 years old (case 2) who presented with clinical symptoms typically associated with BMD, including dilated cardiomyopathy in the first case and mild cardiac enlargement in the second. Muscle symptoms were moderate enabling independent ambulation of both patients until the present. Dystrophin protein was patchy on immunohistochemistry staining confirming the diagnosis of BMD. However, genetic analysis using Multiple Ligation-dependent Probe Amplification (MLPA) identified out-of-frame deletions involving exons 38-43 of the DMD gene in both cases. Here, we report a case series with an exception to the reading frame rule due to mutations affecting the central rod domain of the DMD gene. © 2021, ASEAN Neurological Association. All rights reserved. 2021 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/279114/1/neuroasia-2021-26%281%29-153.pdf Rahmawati, P.L. and Wijayanti, I.A.S. and Arimbawa, I.K. and Purwata, T.E. and Putra, I.P. and Sumadi, I.W.J. and Wiratnaya, G.E. and Antara, I.M.P.S. and Dwianingsih, E.K. (2021) Serial case report: Becker’s muscular dystrophy phenotype with dilated cardiomyopathy in patients with out-of-frame deletion involving exons 38-43 of DMD gene. Neurology Asia, 26 (1). pp. 153-159. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85104045105&partnerID=40&md5=74824d726f56f76e7bfa33051b501abd
spellingShingle Neurosciences
Rahmawati, P.L.
Wijayanti, I.A.S.
Arimbawa, I.K.
Purwata, T.E.
Putra, I.P.
Sumadi, I.W.J.
Wiratnaya, G.E.
Antara, I.M.P.S.
Dwianingsih, E.K.
Serial case report: Becker’s muscular dystrophy phenotype with dilated cardiomyopathy in patients with out-of-frame deletion involving exons 38-43 of DMD gene
title Serial case report: Becker’s muscular dystrophy phenotype with dilated cardiomyopathy in patients with out-of-frame deletion involving exons 38-43 of DMD gene
title_full Serial case report: Becker’s muscular dystrophy phenotype with dilated cardiomyopathy in patients with out-of-frame deletion involving exons 38-43 of DMD gene
title_fullStr Serial case report: Becker’s muscular dystrophy phenotype with dilated cardiomyopathy in patients with out-of-frame deletion involving exons 38-43 of DMD gene
title_full_unstemmed Serial case report: Becker’s muscular dystrophy phenotype with dilated cardiomyopathy in patients with out-of-frame deletion involving exons 38-43 of DMD gene
title_short Serial case report: Becker’s muscular dystrophy phenotype with dilated cardiomyopathy in patients with out-of-frame deletion involving exons 38-43 of DMD gene
title_sort serial case report becker s muscular dystrophy phenotype with dilated cardiomyopathy in patients with out of frame deletion involving exons 38 43 of dmd gene
topic Neurosciences
url https://repository.ugm.ac.id/279114/1/neuroasia-2021-26%281%29-153.pdf
work_keys_str_mv AT rahmawatipl serialcasereportbeckersmusculardystrophyphenotypewithdilatedcardiomyopathyinpatientswithoutofframedeletioninvolvingexons3843ofdmdgene
AT wijayantiias serialcasereportbeckersmusculardystrophyphenotypewithdilatedcardiomyopathyinpatientswithoutofframedeletioninvolvingexons3843ofdmdgene
AT arimbawaik serialcasereportbeckersmusculardystrophyphenotypewithdilatedcardiomyopathyinpatientswithoutofframedeletioninvolvingexons3843ofdmdgene
AT purwatate serialcasereportbeckersmusculardystrophyphenotypewithdilatedcardiomyopathyinpatientswithoutofframedeletioninvolvingexons3843ofdmdgene
AT putraip serialcasereportbeckersmusculardystrophyphenotypewithdilatedcardiomyopathyinpatientswithoutofframedeletioninvolvingexons3843ofdmdgene
AT sumadiiwj serialcasereportbeckersmusculardystrophyphenotypewithdilatedcardiomyopathyinpatientswithoutofframedeletioninvolvingexons3843ofdmdgene
AT wiratnayage serialcasereportbeckersmusculardystrophyphenotypewithdilatedcardiomyopathyinpatientswithoutofframedeletioninvolvingexons3843ofdmdgene
AT antaraimps serialcasereportbeckersmusculardystrophyphenotypewithdilatedcardiomyopathyinpatientswithoutofframedeletioninvolvingexons3843ofdmdgene
AT dwianingsihek serialcasereportbeckersmusculardystrophyphenotypewithdilatedcardiomyopathyinpatientswithoutofframedeletioninvolvingexons3843ofdmdgene