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Abstract
Nine cases from 4 different Iranian-Jewish families presented with generalized muscular
weakness. Quadriceps muscle was the only leg muscle which retained its normal power
and function even in advanced cases. Biopsies from severely involved muscles revealed
a typical “rimmed vacuole myopathy” while the quadriceps and deltoid showed minimal
changes. CK levels were normal or moderately elevated and the EMG pattern suggested
an underlining neurogenic disorder. The possible neurogenic character of this autosomal
recessive disorder is discussed with relevance to the rimmed vacuoles.
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© 1984 Published by Elsevier Inc.