FLNC-related handgrip and calf weakness-distal myopathy

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ORPHA:63273OMIM:614065G71.0
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Overview

FLNC-related distal myopathy, also known as FLNC-related handgrip and calf weakness-distal myopathy or Filaminopathy type C, is a rare inherited muscle disease caused by changes (mutations) in the FLNC gene. This gene provides instructions for making a protein called Filamin C, which helps keep muscle fibers strong and properly organized. When this protein does not work correctly, muscle cells gradually break down over time. The disease mainly affects the muscles farthest from the center of the body — particularly the hands and lower legs (calves). People with this condition often notice that gripping objects becomes harder and that their lower legs feel weak or tire easily. Some people also develop problems with their heart muscle (cardiomyopathy) or experience irregular heartbeats, which makes regular heart monitoring very important. Symptoms usually begin in adulthood, often between the ages of 40 and 60, though this can vary. The condition tends to progress slowly over many years. There is currently no cure, but physical therapy, assistive devices, and careful heart monitoring can help people manage symptoms and maintain quality of life. Because this disease is so rare, it is often misdiagnosed or diagnosed late, making genetic testing a key step toward getting the right care.

Also known as:

Key symptoms:

Weakness in the hands, making it hard to grip or hold objectsWeakness in the lower legs and calves, causing difficulty walking or climbing stairsMuscle wasting (shrinking) in the hands and lower legsFoot drop — difficulty lifting the front part of the foot when walkingFatigue in the arms and legs with everyday activitiesIrregular heartbeat (arrhythmia)Enlarged or weakened heart muscle (cardiomyopathy)Difficulty running or keeping up with physical activityTripping or stumbling more than usualMild muscle pain or cramping in affected areas

Clinical phenotype terms (22)— hover any for plain English
Finger flexor weaknessHP:0031177Intrinsic hand muscle atrophyHP:0008954Distal upper limb muscle weaknessHP:0008959Limited knee flexionHP:0006389Hip flexor weaknessHP:0012515Weakness of facial musculatureHP:0030319Hyporeflexia of lower limbsHP:0002600Fatiguable weakness of proximal limb musclesHP:0030200Decreased finger mobilityHP:0006135
Inheritance

Autosomal dominant

Passed on from just one parent; each child has about a 50% chance of inheriting it

Age of Onset

Adult

Begins in adulthood (age 18 or older)

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for FLNC-related handgrip and calf weakness-distal myopathy.

View clinical trials →

No actively recruiting trials found for FLNC-related handgrip and calf weakness-distal myopathy at this time.

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No specialists are currently listed for FLNC-related handgrip and calf weakness-distal 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 FLNC-related handgrip and calf weakness-distal myopathy.

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Community

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Caregiver Resources

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Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.What genetic testing do you recommend to confirm my diagnosis, and should my family members be tested too?,How often should I have my heart checked, and what specific heart tests do I need?,What physical therapy or exercise program is safe and helpful for my type of muscle weakness?,Are there any clinical trials or research studies I might be eligible to join?,What signs or symptoms should prompt me to seek emergency care right away?,How quickly do you expect my symptoms to progress, and what milestones should I watch for?,Are there any assistive devices or home modifications you recommend to keep me safe and independent?

Common questions about FLNC-related handgrip and calf weakness-distal myopathy

What is FLNC-related handgrip and calf weakness-distal myopathy?

FLNC-related distal myopathy, also known as FLNC-related handgrip and calf weakness-distal myopathy or Filaminopathy type C, is a rare inherited muscle disease caused by changes (mutations) in the FLNC gene. This gene provides instructions for making a protein called Filamin C, which helps keep muscle fibers strong and properly organized. When this protein does not work correctly, muscle cells gradually break down over time. The disease mainly affects the muscles farthest from the center of the body — particularly the hands and lower legs (calves). People with this condition often notice that

How is FLNC-related handgrip and calf weakness-distal myopathy inherited?

FLNC-related handgrip and calf weakness-distal myopathy follows a autosomal dominant inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does FLNC-related handgrip and calf weakness-distal myopathy typically begin?

Typical onset of FLNC-related handgrip and calf weakness-distal myopathy is adult. Age of onset can vary across affected individuals.