Abstract

Infantile FSHD is uncommon. We aim to describe the clinical features and secondary conditions in early onset FSHD. This study was conducted at participating Cooperative International Neuromuscular Research Group (CINRG) sites. The diagnosis was based on onset of symptoms involving the facial or shoulder girdle muscles and contraction of the D4Z4 repeat array ( r = −0.80), Vignos scale ( r = −0.67), and FSHD clinical severity scale ( r = −0.72 for facial, −0.64 for shoulder, and −0.60 for pelvic muscle weakness). Infantile FSHD causes severe weakness and early loss of independent ambulation. Smaller EcoR1 fragment size was associated with great disease severity. Additional longitudinal studies will help determine the rate of decline in motor function over time.

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