Referenced in: none

Automatically associated channels: ClC1 , ClC4

Title: Phenotypic variability in myotonia congenita.

Authors: Eskild Colding-Jørgensen

Journal, date & volume: Muscle Nerve, 2005 Jul , 32, 19-34

PubMed link: http://www.ncbi.nlm.nih.gov/pubmed/15786415

Abstract
Myotonia congenita is a hereditary chloride channel disorder characterized by delayed relaxation of skeletal muscle (myotonia). It is caused by mutations in the skeletal muscle chloride channel gene CLCN1 on chromosome 7. The phenotypic spectrum of myotonia congenita ranges from mild myotonia disclosed only by clinical examination to severe and disabling myotonia with transient weakness and myopathy. The most severe phenotypes are seen in patients with two mutated alleles. Heterozygotes are often asymptomatic but for some mutations heterozygosity is sufficient to cause pronounced myotonia, although without weakness and myopathy. Thus, the phenotype depends on the mutation type to some extent, but this does not explain the fact that severity varies greatly between heterozygous family members and may even vary with time in the individual patient. In this review, existing knowledge about phenotypic variability is summarized, and the possible contributing factors are discussed.