Congenital contractural arachnodactyly with neurogenic muscular atrophy: case report

We report the case of a 3-1/2-year-old girl with hypotonia, multiple joint contractures, hip luxation, arachnodactyly, adducted thumbs, dolichostenomelia, and abnormal external ears suggesting the diagnosis of congenital contractural arachnodactyly (CCA). The serum muscle enzimes were normal and the...

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Main Authors: Rosana Herminia Scola, Lineu Cesar Werneck, Fabio Massaiti Iwamoto, Letícia Cristine Ribas, Salmo Raskin, Ylmar Correa Neto
Format: Article
Language:English
Published: Thieme Revinter Publicações 2001-06-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000200022&tlng=en
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author Rosana Herminia Scola
Lineu Cesar Werneck
Fabio Massaiti Iwamoto
Letícia Cristine Ribas
Salmo Raskin
Ylmar Correa Neto
author_facet Rosana Herminia Scola
Lineu Cesar Werneck
Fabio Massaiti Iwamoto
Letícia Cristine Ribas
Salmo Raskin
Ylmar Correa Neto
author_sort Rosana Herminia Scola
collection DOAJ
description We report the case of a 3-1/2-year-old girl with hypotonia, multiple joint contractures, hip luxation, arachnodactyly, adducted thumbs, dolichostenomelia, and abnormal external ears suggesting the diagnosis of congenital contractural arachnodactyly (CCA). The serum muscle enzimes were normal and the needle electromyography showed active and chronic denervation. The muscle biopsy demonstrated active and chronic denervation compatible with spinal muscular atrophy. Analysis of exons 7 and 8 of survival motor neuron gene through polymerase chain reaction did not show deletions. Neurogenic muscular atrophy is a new abnormality associated with CCA, suggesting that CCA is clinically heterogeneous.
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publisher Thieme Revinter Publicações
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-d1923be6f4fb45b38af6153136eff9f92025-08-20T02:04:06ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272001-06-01592A25926210.1590/S0004-282X2001000200022Congenital contractural arachnodactyly with neurogenic muscular atrophy: case reportRosana Herminia Scola0Lineu Cesar Werneck1Fabio Massaiti Iwamoto2Letícia Cristine Ribas3Salmo Raskin4Ylmar Correa Neto5Universidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáUniversidade Federal do ParanáWe report the case of a 3-1/2-year-old girl with hypotonia, multiple joint contractures, hip luxation, arachnodactyly, adducted thumbs, dolichostenomelia, and abnormal external ears suggesting the diagnosis of congenital contractural arachnodactyly (CCA). The serum muscle enzimes were normal and the needle electromyography showed active and chronic denervation. The muscle biopsy demonstrated active and chronic denervation compatible with spinal muscular atrophy. Analysis of exons 7 and 8 of survival motor neuron gene through polymerase chain reaction did not show deletions. Neurogenic muscular atrophy is a new abnormality associated with CCA, suggesting that CCA is clinically heterogeneous.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000200022&tlng=encongenital contractural arachnodactylyspinal muscular atrophymotor neuron diseasesurvival motor neuron gene
spellingShingle Rosana Herminia Scola
Lineu Cesar Werneck
Fabio Massaiti Iwamoto
Letícia Cristine Ribas
Salmo Raskin
Ylmar Correa Neto
Congenital contractural arachnodactyly with neurogenic muscular atrophy: case report
Arquivos de Neuro-Psiquiatria
congenital contractural arachnodactyly
spinal muscular atrophy
motor neuron disease
survival motor neuron gene
title Congenital contractural arachnodactyly with neurogenic muscular atrophy: case report
title_full Congenital contractural arachnodactyly with neurogenic muscular atrophy: case report
title_fullStr Congenital contractural arachnodactyly with neurogenic muscular atrophy: case report
title_full_unstemmed Congenital contractural arachnodactyly with neurogenic muscular atrophy: case report
title_short Congenital contractural arachnodactyly with neurogenic muscular atrophy: case report
title_sort congenital contractural arachnodactyly with neurogenic muscular atrophy case report
topic congenital contractural arachnodactyly
spinal muscular atrophy
motor neuron disease
survival motor neuron gene
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000200022&tlng=en
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AT fabiomassaitiiwamoto congenitalcontracturalarachnodactylywithneurogenicmuscularatrophycasereport
AT leticiacristineribas congenitalcontracturalarachnodactylywithneurogenicmuscularatrophycasereport
AT salmoraskin congenitalcontracturalarachnodactylywithneurogenicmuscularatrophycasereport
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