Main clinical features
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sporadic nonprogressive congenital inclusion bodies myopathy with weakness and atrophy of the scapuloperoneal muscles, at muscle biopsy preferential atrophy of type I muscle fibers and subsarcolemmal bodies composed of an acid protein with ATPase activity
asymptomatic hyperCKemia, scapulo-peroneal myopathy and proximal and distal myopathy with muscle hypertrophy; muscle MRI identified a unique pattern in the posterior compartment of the thigh, characterized by early involvement of the biceps femoris and semimembranosus, with relative sparing of the semitendinosus (Pegoraro 2007)
at biopsy subsarcolemmal, hyaline-like accumulations of myosin in Type I muscle fibres |