X-linked myotubular myopathy (XLMTM) is a rare inherited neuromuscular disorder associated
with mutations in the MTM1 gene on the Xq28 region. We report a severely affected girl with XLMTM, caused by
maternally inherited 661 kb Xq28 microduplication identified by chromosomal microarray
analysis and confirmed also on DNA from muscle biopsy with a custom-designed X-chromosome-specific
microarray. X-inactivation analysis revealed a skewed inactivation pattern on the
proband's muscle biopsy. Muscle biopsy histopathology was indicative of increased
variability in fiber diameter, marked and diffuse endomysial proliferation of adipose
and connective tissues, as well as predominance of type 1 fibers.
Keywords
X-linked myotubular myopathy - Xq28 duplication -
MTM1 gene