Facioscapulohumeral muscular dystrophy type 1 combined with becker muscular dystrophy: a family case report

Facioscapulohumeral muscular dystrophy type 1 (FSHD1) and Becker muscular dystrophy (BMD) are distinct disorders caused by different genetic variations and exhibiting different inheritance patterns. The co-occurrence of both conditions within the same family is rare. In this case report, the proband...

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Main Authors: Menglin Tan, Huiyi Huo, Jieming Feng, Chandi Wang, Suhua Jiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Genetics
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Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2024.1522203/full
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author Menglin Tan
Huiyi Huo
Jieming Feng
Chandi Wang
Suhua Jiang
author_facet Menglin Tan
Huiyi Huo
Jieming Feng
Chandi Wang
Suhua Jiang
author_sort Menglin Tan
collection DOAJ
description Facioscapulohumeral muscular dystrophy type 1 (FSHD1) and Becker muscular dystrophy (BMD) are distinct disorders caused by different genetic variations and exhibiting different inheritance patterns. The co-occurrence of both conditions within the same family is rare. In this case report, the proband was a 10 year-old boy who presented with eye and mouth orbicular muscles, shoulder and proximal upper and lower limbs weakness. Genetic testing showed that the number of D4Z4 repeat units in the sub-terminal region 4qA of chromosome 4q35 in the proband was only 4 (normal value ≥ 11) and, at the same time, a heterozygous deletion was found in exons 13–29 of DMD gene in the proband, thus the diagnosis was clinically and genetically compatible with both FSHD1 and BMD. Pedigree investigation revealed that his maternal grandmother, mother, aunt and cousin also had muscle weakness in the face, shoulders and limbs. Genetic testing confirmed that each of the four relatives had four D4Z4 repeats in the 4qA region, and all of them carried a heterozygous deletion in exons 13–29 of DMD. Based on the X-linked features of DMD/BMD, the maternal grandmother, mother, and aunt were diagnosed with FSHD1 combined with DMD deletion carriers, and the male cousin was diagnosed with FSHD1 combined with BMD. This study identifies a family with a co-occurrence of clinically overt FSHD1 and BMD, which has important reference value for the diagnosis and treatment of hereditary myopathies.
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spelling doaj-art-c64bc6f97aef444884dc713ea3a9e3f02025-01-07T06:45:02ZengFrontiers Media S.A.Frontiers in Genetics1664-80212025-01-011510.3389/fgene.2024.15222031522203Facioscapulohumeral muscular dystrophy type 1 combined with becker muscular dystrophy: a family case reportMenglin TanHuiyi HuoJieming FengChandi WangSuhua JiangFacioscapulohumeral muscular dystrophy type 1 (FSHD1) and Becker muscular dystrophy (BMD) are distinct disorders caused by different genetic variations and exhibiting different inheritance patterns. The co-occurrence of both conditions within the same family is rare. In this case report, the proband was a 10 year-old boy who presented with eye and mouth orbicular muscles, shoulder and proximal upper and lower limbs weakness. Genetic testing showed that the number of D4Z4 repeat units in the sub-terminal region 4qA of chromosome 4q35 in the proband was only 4 (normal value ≥ 11) and, at the same time, a heterozygous deletion was found in exons 13–29 of DMD gene in the proband, thus the diagnosis was clinically and genetically compatible with both FSHD1 and BMD. Pedigree investigation revealed that his maternal grandmother, mother, aunt and cousin also had muscle weakness in the face, shoulders and limbs. Genetic testing confirmed that each of the four relatives had four D4Z4 repeats in the 4qA region, and all of them carried a heterozygous deletion in exons 13–29 of DMD. Based on the X-linked features of DMD/BMD, the maternal grandmother, mother, and aunt were diagnosed with FSHD1 combined with DMD deletion carriers, and the male cousin was diagnosed with FSHD1 combined with BMD. This study identifies a family with a co-occurrence of clinically overt FSHD1 and BMD, which has important reference value for the diagnosis and treatment of hereditary myopathies.https://www.frontiersin.org/articles/10.3389/fgene.2024.1522203/fullFSHD1BMDFSHD1 combined with BMDgenetic diagnosiscase report
spellingShingle Menglin Tan
Huiyi Huo
Jieming Feng
Chandi Wang
Suhua Jiang
Facioscapulohumeral muscular dystrophy type 1 combined with becker muscular dystrophy: a family case report
Frontiers in Genetics
FSHD1
BMD
FSHD1 combined with BMD
genetic diagnosis
case report
title Facioscapulohumeral muscular dystrophy type 1 combined with becker muscular dystrophy: a family case report
title_full Facioscapulohumeral muscular dystrophy type 1 combined with becker muscular dystrophy: a family case report
title_fullStr Facioscapulohumeral muscular dystrophy type 1 combined with becker muscular dystrophy: a family case report
title_full_unstemmed Facioscapulohumeral muscular dystrophy type 1 combined with becker muscular dystrophy: a family case report
title_short Facioscapulohumeral muscular dystrophy type 1 combined with becker muscular dystrophy: a family case report
title_sort facioscapulohumeral muscular dystrophy type 1 combined with becker muscular dystrophy a family case report
topic FSHD1
BMD
FSHD1 combined with BMD
genetic diagnosis
case report
url https://www.frontiersin.org/articles/10.3389/fgene.2024.1522203/full
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AT jiemingfeng facioscapulohumeralmusculardystrophytype1combinedwithbeckermusculardystrophyafamilycasereport
AT chandiwang facioscapulohumeralmusculardystrophytype1combinedwithbeckermusculardystrophyafamilycasereport
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