• Hyung Jun Park, Hoon Jang, Jung Hwan Lee, Ha Young Shin, Sung Rae Cho, Kee Duk Park, Duhee Bang, Min Goo Lee, Seung Min Kim, Ji Hyun Lee, and Young Chul Choi.
• Department of Neurology, Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.
• Yonsei Med. J. 2016 Jan 1; 57 (1): 173179173-9.

PurposeThis study was designed to investigate the characteristics of Korean patients with calpainopathy.Materials And MethodsThirteen patients from ten unrelated families were diagnosed with calpainopathy via direct or targeted sequencing of the CAPN3 gene. Clinical, mutational, and pathological spectra were then analyzed.ResultsNine different mutations, including four novel mutations (NM_000070: c.1524+1G>T, c.1789_1790inA, c.2184+1G>T, and c.2384C>T) were identified. The median age at symptom onset was 22 (interquartile range: 15-28). Common clinical findings were joint contracture in nine patients, winged scapula in four, and lordosis in one. However, we also found highly variable clinical features including early onset joint contractures, asymptomatic hyperCKemia, and heterogeneous clinical severity in three members of the same family. Four of nine muscle specimens revealed lobulated fibers, but three showed normal skeletal muscle histology.ConclusionWe identified four novel CAPN3 mutations and demonstrated clinical and pathological heterogeneity in Korean patients with calpainopathy.

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