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Ullrich congenital muscular dystrophy

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ICD-10
  
G71.2

DiseasesDB
  
33679

OMIM
  
254090

Orphanet
  
75840

Ullrich congenital muscular dystrophy

GeneReviews
  
Collagen Type VI-Related Disorders

Ullrich congenital muscular dystrophy is a form of congenital muscular dystrophy.It is associated with variants of type VI collagen, it is commonly associated with muscle weakness and respiratory problems, though cardiac issues are not associated with this type of CMD.

Contents

Signs/symptoms

The presentation of Ullrich congenital muscular dystrophy in an affected individual is as follows:

  • Muscle weakness
  • Difficulty walking
  • Contractures (neck)
  • Joint looseness
  • Genetics

    In terms of the genetics of Ullrich congenital muscular dystrophy,there are mutations in the genes COL6A1, COL6A2, and COL6A3. This sub-type of muscular dystrophy is autosomal recessive in nature.

    COL6A1 plays an important part in maintaining the human body's integrity of various tissues. Alpha 1 subunit of type VI collagen is the encoded protein.

    Diagnosis

    In terms of the diagnosis of Ullrich congenital muscular dystrophy upon inspection follicular hyperkeratosis, may be a dermatological indicator,additionally also serum creatine kinase may be mildly above normal. Other exams/methods to ascertain if the individual has Ullrich congenital muscular dystrophy are:

    Treatment

    Treatment for Ullrich congenital muscular dystrophy can consist of physical therapy and regular stretching. Respiratory support may be needed at some point by the affected individual.

    Though cardiac complications are not a concern in this type of CMD, in regards to respiratory issues ventilation via a tracheostomy is a possibility in some cases.

    Prognosis

    The prognosis of this sub-type of MD indicates that the affected individual may eventually have feeding difficulties. Surgery, at some point, might be an option for scoliosis.

    Scoliosis which is a sideways curve of the persons vertebrate, is determined by a variety of factors, including the degree (mild or severe), in which case if possible a brace might be used by the individual

    Research

    In terms of possible research for Ullrich congenital muscular dystrophy one source indicates that cyclosporine A might be of benefit to individuals with this CMD type.

    According to a review by Bernardi, et al, cyclosporin A (CsA) used to treat collagen VI muscular dystrophies demonstrates a normalization of mitochondrial reaction to rotenone.

    References

    Ullrich congenital muscular dystrophy Wikipedia


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