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Although most muscle disorders produce proximal weakness, some myopathies may manifest predominantly or exclusively distal weakness. Although several congenital, inflammatory, or metabolic myopathies may produce mainly distal weakness, ther e are several distinct entities, typically referred to as distal myopathies. Most of these are inherited conditions. The distal myopathies are rare, but characteristic clinical and histological features aid in their identification. Advances in molecular genetics have led to the identification of the gene lesions responsible for several of these entities and have also expanded our understanding of the genetic relationships of distal myopathies to other inherited disorders of muscle. This review summariz es current knowledge of the clinical and molecular aspects of the distal myopathies. |
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children creatine phosphokinase(CPK)elevated distal muscle weakness familial gene genetic neurologic disorders hand weakness leg weakness,bilateral molecular genetics muscle biopsy muscular dystrophy muscular dystrophy,classification muscular dystrophy,distal,Miyoshi myopathy myopathy,distal myopathy,distal,vacuolar myopathy,vacuolar neck weakness review article
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