Classic multiminicore myopathy

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ORPHA:324604OMIM:602771G71.2
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Overview

Classic multiminicore myopathy, also known as classic multiminicore disease (MmD), is a rare inherited muscle disorder that belongs to a group of conditions called congenital myopathies. The name comes from the appearance of muscle tissue under a microscope, which shows many small areas of damage called "minicores" within the muscle fibers. These minicores represent regions where the normal internal structure of the muscle cell has broken down. The disease primarily affects the muscles used for movement and breathing. People with classic multiminicore myopathy typically experience widespread muscle weakness, particularly in the trunk and limbs. The weakness tends to be more prominent in muscles closer to the center of the body, such as the hips and shoulders. A hallmark feature is significant weakness of the muscles between the ribs, which can lead to breathing difficulties. Many affected individuals also develop scoliosis (curvature of the spine), which can worsen over time and further compromise breathing. Symptoms usually appear in infancy or early childhood. Babies may seem floppy (hypotonic) and may have difficulty feeding. Motor milestones like sitting and walking are often delayed. While the muscle weakness is generally not progressive or only slowly progressive, the breathing problems and scoliosis can become serious concerns that require ongoing medical attention. There is currently no cure for classic multiminicore myopathy, and treatment focuses on managing symptoms through physical therapy, respiratory support, and orthopedic interventions for scoliosis. With proper care, many individuals can maintain a reasonable quality of life, though the severity varies from person to person.

Also known as:

Key symptoms:

Muscle weakness, especially in the trunk, hips, and shouldersFloppy or low muscle tone in infancyBreathing difficulties due to weak chest musclesScoliosis (curvature of the spine)Rigid or stiff spineDelayed motor milestones such as sitting and walkingDifficulty with feeding in infancyPoor head control in babiesThin or underdeveloped musclesReduced ability to exercise or keep up with peersJoint stiffness or contracturesNighttime breathing problems or sleep apneaFatigue with physical activity

Clinical phenotype terms (29)— hover any for plain English
Nocturnal hypoventilationHP:0002877Spinal rigidityHP:0003306Generalized amyotrophyHP:0003700Intermittent episodes of respiratory insufficiency due to muscle weaknessHP:0004889Limited neck flexionHP:0005991Increased muscle lipid contentHP:0009058Weakness of facial musculatureHP:0030319Muscle fiber atrophyHP:0100295
Inheritance

Autosomal recessive

Passed on when both parents carry the same gene change; often skips generations

Age of Onset

Infantile

Begins in infancy, roughly 1 month to 2 years old

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Classic multiminicore myopathy.

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No actively recruiting trials found for Classic multiminicore myopathy at this time.

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No specialists are currently listed for Classic multiminicore myopathy.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Classic multiminicore myopathy.

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Community

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Caregiver Resources

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Questions for your doctor

Bring these to your next appointment

  • Q1.How severe is my child's muscle weakness, and what level of function can we expect over time?,How often should breathing and lung function be tested?,When should we consider non-invasive ventilation or other respiratory support?,What signs of scoliosis progression should I watch for, and when might surgery be needed?,What physical therapy program is best suited for this condition?,Should genetic testing be offered to other family members or for future pregnancies?,Are there any clinical trials or emerging treatments we should know about?

Common questions about Classic multiminicore myopathy

What is Classic multiminicore myopathy?

Classic multiminicore myopathy, also known as classic multiminicore disease (MmD), is a rare inherited muscle disorder that belongs to a group of conditions called congenital myopathies. The name comes from the appearance of muscle tissue under a microscope, which shows many small areas of damage called "minicores" within the muscle fibers. These minicores represent regions where the normal internal structure of the muscle cell has broken down. The disease primarily affects the muscles used for movement and breathing. People with classic multiminicore myopathy typically experience widespread

How is Classic multiminicore myopathy inherited?

Classic multiminicore myopathy follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Classic multiminicore myopathy typically begin?

Typical onset of Classic multiminicore myopathy is infantile. Age of onset can vary across affected individuals.