Main clinical features
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severe and mild expression, may be in the same family
onset in infancy or early childhood with hypotonia and muscle weakness, slowly progressive or nonprogressive
tall thin face and facial myopathy were prominent features in the affected adults
associated with the presence of nemaline bodies in muscle fibers (intranuclear and cytoplasmic rod formation, accumulation of thin filaments and myofibrillar desorganization)
at light microscopy, muscle biopsies ranged from almost normal, to chronic myopathy with sarcoplasmic and intranuclear rods |