Mitochondrial Encephalomyopathy Associated with Diabetes Mellitus, Cataract, and Corpus Callosum Atrophy
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概要
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A 44-year-old woman with mitochondrial encephalomyopathy noticed weakness of the lower extremities at the age of 30 years. She also has type 2 diabetes mellitus, posterior subcapsular cataracts in both eyes, and corpus callosum atrophy. Family history showed that a maternal cousin had a myopathy, 3 maternal aunts had diabetes mellitus, and her mother and 2 maternal aunts had cataracts. External ophthalmoplegia, proximal myopathy, and absent deep tendon reflexes were noted. The mitochondrial DNA 3243 point mutation was negative. Muscle biopsy showed ragged-red fibers, cytochrome c oxidase (COX)-positive fibers, and COX-negative fibers.
著者
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Goto Yu-ichi
Department Of Child Neurology National Center Hospital For Mental Nervous And Musculardisorders Nati
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Nonaka Ikuya
Department Of Child Neurology National Center Hospital For Mental Mervous And Muscular Disorders Ncn
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Nishino Ichizo
Department Of Neuromuscular Disorders National Institute Of Neuroscience National Center Of Neurolog
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Oishi Minoru
Department Of Neurology Nihon University
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Fujioka Kazumi
Department Of Radiology Nihon University School Of Medicine
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Miki Kenji
Department Of Biomolecular Engineering Graduate School Of Bioscience And Biotechnology Tokyo Institu
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Mizutani Tomohiko
Division Of Neurology Department Of Medicine Nihon University School Of Medicine
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Aoki Shigeki
Department Of Hepato-biliary-pancreatic Surgery Tokyo Medical And Dental University
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Nonaka Ikuya
Department of Neuromuscular Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry
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Morita Akihiko
Department of Neurology, Nihon University Nerima Hikarigaoka Hospital
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Miki Kenji
Department of Neurology, Nihon University Nerima Hikarigaoka Hospital
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