Dietary L-tyrosine supplementation in Nemaline myopathy

被引:43
作者
Ryan, Monique M. [2 ,3 ]
Sy, Catherine [4 ]
Rudge, Sian
Ellaway, Carolyn [4 ]
Ketteridge, David [5 ]
Roddick, Laurence G. [6 ]
Iannaccone, Susan T. [7 ]
Kornberg, Andrew J. [2 ,3 ]
North, Kathryn N. [1 ,8 ]
机构
[1] Childrens Hosp Westmead, Clin Sch Level 3, Inst Neuromuscular Res, Sydney, NSW 2145, Australia
[2] Royal Childrens Hosp, Dept Neurosci, Melbourne, Vic, Australia
[3] Murdoch Childrens Res Inst, Melbourne, Vic, Australia
[4] Childrens Hosp Westmead, Western Sydney Genet Program, Sydney, NSW, Australia
[5] Womens & Childrens Hosp, Dept Paediat, Adelaide, SA, Australia
[6] John Hunter Childrens Hosp, Dept Paediat, Newcastle, NSW, Australia
[7] Texas Scottish Rite Hosp Children, Dept Neuromuscular Dis & Neurorehabil, Dallas, TX 75219 USA
[8] Univ Sydney, Discipline Paediat & Child Hlth, Sydney, NSW, Australia
关键词
nemaline; myopathy; tyrosine; sialorrhoea;
D O I
10.1177/0883073807309794
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Nemaline myopathy is defined by the presence of nemaline bodies, or rods, on muscle biopsy. Facial and bulbar weakness in nemaline myopathy cause chewing and swallowing difficulties, recurrent aspiration, and poor control of oral secretions. This article discusses 5 patients (4 infants and I adolescent) with nemaline myopathy who received dietary supplementation with L-tyrosine (250 to 3000 mg/day). All 4 infants were reported to have an initial decrease in sialorrhoea and an increase in energy levels. The adolescent showed improved strength and exercise tolerance. No adverse effects of treatment were observed. Dietary tyrosine supplementation may improve bulbar function, activity levels, and exercise tolerance in nemaline myopathy.
引用
收藏
页码:609 / 613
页数:5
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