Asymmetrical Lower Extremity Muscle Wasting In An Adult - Page #4
 

Working Diagnosis:
Miyoshi Myopathy.

Treatment:
Currently, there is no treatment or cure for Miyoshi Myopathy. Goals of care include preserving function and preventing decline through gentle physical therapy, mechanical bracing, emotional support, and a multi-disciplinary approach to treating future complications. There are also some cases of cardiac problem such as dilated cardiomyopathy in ANO5 mutations, so referral was placed to cardiology.

Outcome:
A lace-up ankle brace was given to provide ankle support, and was referred to physical therapy for teaching of gentle shoulder stabilization exercises. <br>His left shoulder symptoms are most likely caused an impingement syndrome, but progression of his myopathy to upper extremities cannot be excluded. To continue with conservative treatment.

Author's Comments:
Currently, there is no treatment or cure for Miyoshi Myopathy. Goals of care will include preserving function and preventing decline through physical therapy, mechanical bracing, emotional support, and a multi-disciplinary approach to treating future complications.

Editor's Comments:
rare disease; interesting presentation

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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