Abstract
Most patients with mutations in the tRNA(lys) gene (MTTK) present with symptoms from the central nervous system (CNS). We describe a 41-year-old woman with pure myopathy associated with a novel de novo mtDNA mutation, mt.8340G>A, which was heteroplasmic in muscle (53%), blood, urine and mouth epithelial cells (<7%). No other family members, including her mother, carried the mutation. She presented with exercise intolerance from age 9, and since age 20 she experienced ptosis and reduced ocular motility. A muscle biopsy revealed ragged red fibres (10%), no COX negative fibres, and many fibres with central nuclei (30%), indicating ongoing damage and repair. The present case expands the mutational and phenotypic spectrum of diseases associated with mutations in MTTK.
Originalsprog | Engelsk |
---|---|
Tidsskrift | Neuromuscular Disorders |
Vol/bind | 24 |
Udgave nummer | 2 |
Sider (fra-til) | 162-166 |
Antal sider | 5 |
ISSN | 0960-8966 |
DOI | |
Status | Udgivet - feb. 2014 |