Rationale: Limb-girdle muscular dystrophy (LGMD) is a genetic disease, which is characterized by muscle atrophy and weakness mainly involving proximal muscles. Accurate diagnosis of LGMD patient is very important for the appropriate management and long-term prognosis. Patient concerns: An 18-year-old woman presented with progressive weakness of limbs, persistent elevated serum creatine kinase, myogenic damages in electromyography, and dysferlin protein deficiency in muscle biopsy. Further next-generation sequencing (NGS) revealed a compound heterozygous variant in dysferlin gene ( DYSF ), including a novel frameshift variant of c.4010delT. Diagnosis: The patient was diagnosed with LGMD2B clinically and genetically. Interventions: Oral levocarnitine and coenzyme Q10 were prescribed to the patient. Outcomes: After symptomatic treatments for 1 week, the patient's symptoms were not improved. Lessons: NGS might be a helpful tool for the diagnosis of LGMD. A novel variant of c.4010delT in DYSF was identified in this case, which broadens the genetic spectrum of LGMD2B.
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