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A rare genetic disorder caused by mutations in the TPM3, ACTA1, RYR1 or SEPN1 genes. It is inherited in an autosomal dominant or recessive pattern and rarely in an X-linked pattern. It manifests with myopathy throughout the body, particularly in the muscles of the shoulders, upper arms, hips, and thighs. Affected individuals may have contractures, lordosis, or scoliosis. In a minority of cases mild to severe breathing problems may occur.
Features include very common findings: Low muscle tone (hypotonia), Progressive muscle weakness, and Type 1 muscle fiber atrophy; and common findings: High palate, Dental crowding, Motor delay, and Areflexia and others. 59 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 20 | Low muscle tone (hypotonia), Progressive muscle weakness, Type 1 muscle fiber atrophy |
Phenotype severity distribution: 3 very common features, 21 common features.
Estimated prevalence: Unknown (Unknown prevalence).
2 clinical trials registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
7 publications have been identified in PubMed for congenital fiber-type disproportion myopathy. Research spans Case Report / Case Series (71%), Other (14%), and Review / Meta-Analysis (14%).
Martins AP (2026). [PMID: 42275936](https://pubmed.ncbi.nlm.nih.gov/42275936/). *Neuromuscul Disord*. [Case Report / Case Series]
Barp A (2025). [PMID: 41199729](https://pubmed.ncbi.nlm.nih.gov/41199729/). *Acta Myol*. [Case Report / Case Series]
Woods M (2025). [PMID: 40450412](https://pubmed.ncbi.nlm.nih.gov/40450412/). *Neuromuscul Disord*. [Review / Meta-Analysis]
Fan S (2025). [PMID: 40115162](https://pubmed.ncbi.nlm.nih.gov/40115162/). *Mol Genet Metab Rep*. [Case Report / Case Series]
Pasolini MP (2025). [PMID: 40559795](https://pubmed.ncbi.nlm.nih.gov/40559795/). *Vet Sci*. [Other]
Data assembled from 5 of 12 sources · Last updated Sep 18, 2026, 2:07 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Lungs and breathing |
6 |
Abnormality of the respiratory system, Difficulty breathing due to muscle weakness (respiratory insufficiency due to muscle weakness), Recurrent respiratory infections |
Bones and joints | 4 | Abnormal skeletal morphology, Sideways curvature of the spine (scoliosis), Kyphoscoliosis |
Head and neck | 3 | High palate, Weakness of facial musculature, Long face |
Brain and nerves | 3 | Difficulty swallowing (dysphagia), Fatigue, Headache |
Growth and development | 2 | Failure to thrive, Weight loss |
Digestive system | 2 | Difficulty swallowing (dysphagia), Feeding difficulties |
Pregnancy and birth | 2 | Congenital hip dislocation, Decreased fetal movement |
Arms and legs | 2 | Foot dorsiflexor weakness, Flexion contracture of finger |
Heart and blood vessels | 1 | Abnormal heart morphology |
Blood and immune system | 1 | Recurrent respiratory infections |
Lorenzoni PJ (2025). [PMID: 39477909](https://pubmed.ncbi.nlm.nih.gov/39477909/). *Neurol Sci*. [Case Report / Case Series]
Baskar D (2024). [PMID: 39238562](https://pubmed.ncbi.nlm.nih.gov/39238562/). *Glob Med Genet*. [Case Report / Case Series]