General characteristics | |
---|---|
Gender (males) | 48 (51%) |
Age at first study visit (years) | 51.1 (38.3-60.6) |
Age at onset of symptoms (years) | 32.0 (25.5-40.0) |
• < 18 years | 10 (11%) |
• ≥ 18 years | 84 (89%) |
Age at diagnosis (years) | 40.2 (32.7-50.2) |
Disease duration since onset of first symptoms at first study visit (years) | 15.3 (7.7-24.7) |
Time since diagnosis at first study visit (years) | 9.2 (0.6-16.0) |
• 0 to 5 years | 41 (44%) |
• 5 to 10 years | 15 (16%) |
• 10 to 15 years | 10 (11%) |
• > 15 years | 28 (30%) |
Use of walking aids | 14 (15%) |
Wheelchair use | 30 (32%) |
Age at start of wheelchair use (years) | 49.0 (43–56) |
Use of mechanical ventilation b | 27 (29%) |
Age at start of mechanical ventilation (years) | 48 (38.5-57.5) |
First symptoms noted c | |
Skeletal muscle weakness | 93 (99%) |
• Difficulty running | 30 (32%) |
• Difficulty performing sports | 22 (23%) |
• Difficulty climbing stairs | 24 (26%) |
• Difficulty walking | 15 (16%) |
• Difficulty rising from an armchair | 11 (12%) |
• Difficulty rising from a lying position | 9 (10%) |
Fatigue | 17 (18%) |
Muscle soreness / cramps | 16 (17%) |
Respiratory failure | 1 (1%) |
Clinical features | |
Ptosis | 22 (23%) |
Bulbar muscle weakness d | 26 (28%) |
Scapular winging d | 31 (33%) |
Scoliosis | 22 (23%) |
Increased lumbar lordosis | 62 (66%) |
Prominent muscle atrophy | 53 (56%) |
• Shoulder girdle / upper arms | 25 (27%) |
• Trunk muscles | 27 (29%) |
• Pelvic girdle / Upper leg (Figure1a) | 40 (43%) |
Laboratory parameters | |
CK (U/l) | |
• Males | 449 (279–1040) |
• Females | 493 (237–715) |
α-glucosidase activity in leukocytes (nmol glucose/h/mg protein) e | 1.2 (0.4-2.2) |
α-glucosidase activity in fibroblasts (nmol 4-MU/h/mg protein) f | 13.0 (11.0-15.0) |
Genotype | |
• c.-32-13T>G / very severe or potentially less severe pathogenic mutation | 92 (98%) |
• c.671G>A / c.525del | 1 (1%) |
• unknown | 1(1%) |