raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:98912

Late-onset distal myopathy, Markesbery-Griggs type

Synonyms: ZASP-related myofibrillar myopathy

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adult
Status
active

A rare, genetic, non-dystrophic myofibrillar myopathy disorder characterized by late-adult onset of distal and/or proximal limb muscle weakness with initial involvement of posterior lower leg muscles, medial gastrocnemius and soleus. Patients present with ankle weakness followed by weakness of finger and wrist extensors and later on of proximal muscles. Ambulation is usually preserved. Late-onset associated cardiomyopathy and/or neuropathy has been reported in a minority of cases.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLate-onset distal myopathy, Markesbery-Griggs typeZASP-related myofibrillar myopathy
frMyopathie distale tardive type Markesbery-GriggsMyopathie myofibrillaire par mutation du gène ZASP
deSpät-beginnende distale Myopathie Typ Markesbery-GriggsZASP-abhängige myofibrilläre Myopathie
esMiopatía distal de inicio tardío tipo Maskerbery-GriggsMiopatía miofibrilar ligada a ZASP
itMiopatia distale a esordio tardivo, tipo Markesbery-GriggsMiopatia miofibrillare ZASP-correlata
nlLaat optredende distale myopathie, Markesbery-Griggs-typeZASP-gerelateerde myofibrillaire myopathie
ptMiopatia distal de início tardio, tipo Markesbery-GriggsMiopatia miofibrilar relacionada com ZASP
plMiopatia dystalna o późnym początku, typ Markesbery'ego i GriggsaMiopatia miofibrylarna związana z ZASP
csDistální myopatie s pozdním nástupem, Markesberyho-Griggsův typZASP-vázaná myofibrilární myopatie · Distální myopatie s pozdním nástupem, Markesbery-Griggsův typ
ukПізня дистальна міопатія, тип Маркесбері-ГріггсаМіофібрилярна міопатія, повязана з ZASP
zh迟发性远端肌病症Markesbery-Griggs型ZASP相关肌原纤维肌病
trGeç başlangıçlı distal miyopati, Markesbery-Griggs tipiZASP-ilişkili miyofibriler miyopati

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM609452Evalidated
ICD-10G71.8NTBTattributedvalidated
MONDO0012277Evalidated
MeSHC563718Evalidated
UMLSC1836155Evalidated
GARD1886Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
LDB3Disease-causing germline mutation(s) inAssessedHGNC:15710ENSG0000012236760590610q23.2LIM domain binding 320809097[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_15668942[PMID]
Cases/families11 casesWorldwideCase(s)Validated15668942[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

21 annotations · validated 2019-01-15
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0030198Fatigable weakness of distal limb muscles
HP:0008954Intrinsic hand muscle atrophy
HP:0009073Progressive proximal muscle weakness
Occasional (29-5%)
HP:0001626Abnormality of the cardiovascular system
HP:0031374Ankle weakness
HP:0008969Leg muscle stiffness
HP:0009077Weakness of long finger extensor muscles
HP:0009005Weakness of the intrinsic hand muscles
HP:0031189Wrist drop
Very rare (<4-1%)
HP:0005162Abnormal left ventricular function
HP:0001638Cardiomyopathy
HP:0009072Decreased Achilles reflex
HP:0011808Decreased patellar reflex
HP:0009027Foot dorsiflexor weakness
HP:0001288Gait disturbance
HP:0003324Generalized muscle weakness
HP:0012722Heart block
HP:0003325Limb-girdle muscle weakness
HP:0009830Peripheral neuropathy
HP:0008997Proximal muscle weakness in upper limbs
Excluded (0%)
HP:0002505Loss of ambulation

Annotation source: 25037092[PMID]_15668942[PMID]_20809097[PMID]_16684602[PMID]

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Sources for this card