DESMIN MYOPATHY - A MULTISYSTEM DISORDER INVOLVING SKELETAL, CARDIAC, AND SMOOTH-MUSCLE

被引:89
作者
ARIZA, A [1 ]
COLL, J [1 ]
FERNANDEZFIGUERAS, MT [1 ]
LOPEZ, MD [1 ]
MATE, JL [1 ]
GARCIA, O [1 ]
FERNANDEZVASALO, A [1 ]
NAVASPALACIOS, JJ [1 ]
机构
[1] UNIV AUTONOMA BARCELONA,E-08193 BARCELONA,SPAIN
关键词
DESMIN; MYOPATHY; CARDIOMYOPATHY; SMOOTH MUSCLE; INTESTINE; NEUROFILAMENTS; UBIQUITIN;
D O I
10.1016/0046-8177(95)90095-0
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Myopathy associated with desmin-type intermediate filaments is an uncommon disorder of skeletal and/or cardiac muscle. The present study focuses on a 28-year-old man with generalized muscular atrophy, cardiomyopathy, and intestinal malabsorption and pseudoobstruction. Abundant sarcoplasmic granular and filamentous aggregates that were ultrastructurally continuous with Z lines or dense bodies and exhibited intense immunostaining for desmin were present throughout the skeletal musculature, myocardium, and smooth muscle of the intestine, Moreover, neurofilament-immunoreactive axonal spheroids were identified in the spinal cord and roots. These widely distributed findings illustrate the multisystemic character of desmin myopathy, which in this instance first adds intestinal smooth muscle involvement to its already known skeletal and cardiac muscle manifestations. The additional presence of neurofilament aggregates in the spinal cord and roots constitutes an extremely rare conjunction of intermediate filament pathology of the neuromuscular system. Copyright (C) 1995 by W,B, Saunders Company
引用
收藏
页码:1032 / 1037
页数:6
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