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Autosomal recessive limb-girdle muscular dystrophy type 2X is a rare subtype of autosomal recessive limb-girdle muscular dystrophy characterized by atrioventricular block resulting in repeated syncope episodes, elevated creatine kinase serum levels and adult-onset of slowly progressive proximal limb skeletal muscle weakness and atrophy. Muscular dystrophic changes observed in muscle biopsy include diameter variability, increased central nuclei, and presence of necrotic and regenerating fibers.
Features include always present findings: Centrally nucleated skeletal muscle fibers, Second degree atrioventricular block, and Syncope; and common findings: Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration), Limb muscle weakness, Muscle fiber necrosis, and Limb-girdle muscle weakness and others. 17 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 10 |
POPDC1 function has not been fully characterized.
Autosomal recessive limb-girdle muscular dystrophy type 2X is associated with mutations in the POPDC1 gene on chromosome 6.
Genetic testing for POPDC1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 3 always present features, 6 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 8:42 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Bones and joints | 2 | Skeletal muscle atrophy, Centrally nucleated skeletal muscle fibers |
Brain and nerves | 2 | Difficulty walking (gait disturbance), Exercise intolerance |
Heart and blood vessels | 2 | Second degree atrioventricular block, Sinus bradycardia |
Arms and legs | 2 | Limb muscle weakness, Limb-girdle muscle weakness |
Lab test results | 1 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration) |