What is it about?

“Calf heads on a trophy sign” is a specific clinical sign that is almost specific for Miyoshy myopathy:

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Why is it important?

“Calf heads on a trophy sign” is not visible in any patient with muscle disease other than Miyoshi myopathy and thus appears to be highly specific. As the final diagnosis nowadays is made with immunohistochemical staining of muscle biopsy specimens and genetic studies, the calf heads on a trophy sign may be useful in directing patients to appropriate tests, thus minimizing the time and cost of diagnosis.

Perspectives

There is a group of rare myopathies with distinct characteristics that affect predominantly distal muscles.The Miyoshi myopathy may be distinct among the hereditary distal myopathies.Here we describe a family of distal myopathy where the diagnostic clue towards the underlying diagnosis was pointed out by a physical examination finding of “calf heads on a trophy” sign.The calf heads on a trophy sign may be useful in directing patients to appropriate tests, thus minimizing the time and cost of diagnosis.

Dr shyma nambiar
TDMCH,Alappuzha

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This page is a summary of: Calf heads on a trophy sign: Miyoshi myopathy, Journal of Neurosciences in Rural Practice, January 2015, Medknow,
DOI: 10.4103/0976-3147.158798.
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