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Departments of Neurology (Dr. Miller and Mr. Mellenthin), Cardiology (Dr. Francoz), and Radiology (Dr. Mall), Children's Hospital of San Francisco: and the Departments of Neurology (Drs. Layzer and Miller) and Genetics (Dr. Golabi), University of California at San Francisco, San Francisco, CA.
A woman with early-onset, slowly progressive, humeroperoneal muscle weakness had marked restriction of neck flexion with contracture at the elbows. She developed exertional dyspnea at age 25, atrial fibrillation with slow ventricular rate was discovered, and a cardiac pacemaker was implanted. Her father had a similar disorder. There is at least one other report of autosomal dominant transmission of this clinical picture, which had previously only been reported as Emery-Dreifuss muscular dystrophy with X-linked recessive inheritance. Thus, more than one mode of inheritance is possible for this unusual and distinctive form of muscular dystrophy.
Address correspondence and reprint requests to Dr. Miller, Department of Neurology (OPR 613), Children's Hospiksl of San Francisco, 3700 California Street, San Francisco, CA 94119.
Accepted for publication November 30, 1984.
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