Evidence map›Paper›PMID 39973409›Full record

ArticleJournal of neuromuscular diseases2025

A rare case of myopathy with fatigability due to

Dipti Baskar, Aneesha Thomas, Vijay Kumar Boddu, Rashmi Santhoshkumar, Ram Murthy Anjanappa, Saraswati Nashi, Kosha Srivastava, Kiran Polavarapu, Gautham Arunachal, Ananthapadmanabha Kotambail and 4 more

Abstract readCase Reports
In one paragraph

Article in Journal of neuromuscular diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Enzymology of the metazoan tRNA ligase complex: a lifetime in cycles.Cellular and molecular life sciences : CMLS · 2026
    Review
  2. Article
  3. Myofibrillar myopathy type 8 mimicking a Limb-Girdle Muscle Dystrophy: the first Tunisian case report.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Dipti BaskarDepartment of Neurology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India.ORCID 0000-0002-8362-7380
Aneesha ThomasDepartment of Neurology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India.ORCID 0000-0002-2867-8935
Vijay Kumar BodduDepartment of Neurology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India.
Rashmi SanthoshkumarDepartment of Neuropathology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India.
Ram Murthy AnjanappaMedgenome Laboratory, Bengaluru, India.
Saraswati NashiDepartment of Neurology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India.
Kosha SrivastavaDepartment of Neurology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India.
Kiran PolavarapuDepartment of Medicine, The Ottawa Hospital, Children's Hospital of Eastern Ontario Research Institute, University of Ottawa and Division of Neurology, Ottawa, Canada.
Gautham ArunachalDepartment of Human Genetics, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India.
Ananthapadmanabha KotambailDepartment of Human Genetics, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India.
Bhoomika RaoDepartment of Speech and Audiology, National Institute of Mental Health and Neurosciences, Bengaluru, India.
Anita MahadevanDepartment of Neuropathology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India.
Atchayaram NaliniDepartment of Neurology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India.
Seena VengalilDepartment of Neurology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India.ORCID 0000-0002-0629-9221

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCongenital myopathies are a group of heterogenous inherited muscle diseases. With advances in genetics, newer genes with novel features are being described. Pyridine nucleotide-disulfide oxidoreductase domain 1 (

methodsThis is a retrospective study done from a quaternary neurology referral centre from southern India. All clinical, laboratory and electrophysiological data were collected from the medical records. Institutional ethics approval and informed consent from patient were obtained.

resultsA 9 year-old-boy of non-consanguineous parentage presented with progressive fatigable proximo-distal weakness of upper and lower limbs with facial weakness from the age of 4 years. This was followed by chewing and swallowing difficulty. However speech was normal. There was profound proximal and distal joint hyperextensibility along with hip and ankle contractures. There was facial dysmorphism with high arched palate and retrognathism. Investigations showed normal serum creatine kinase levels. Nerve conduction studies showed axonal sensorimotor neuropathy. There was significant decremental response in tibialis anterior. Muscle biopsy showed both myopathic and neurogenic changes with novel findings of mitochondrial aggregates in subsarcolemmal and perinuclear regions. Next generation sequencing revealed a missense variant NM_024854.5:c.394C > T (NP_079130.2:p.Arg132Cys) of uncertain significance in exon 4 of

conclusionThis is the first report of

Indexed as

Muscular DiseasesChildHumansIndiaMaleMuscle, SkeletalRetrospective StudiesIndiamuscle fatigabilityPYROXD1 myopathy

Identifiers

PMID39973409
PMCPMC13142872

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.