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Any nemaline myopathy in which the cause of the disease is a mutation in the TPM2 gene.
Features include always present findings: Motor delay, Lower limb muscle weakness, Difficulty walking (gait disturbance), and Joint contracture and others; and very common findings: Nemaline bodies. 43 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 17 | Muscle fiber splitting, Low muscle tone (hypotonia), Generalized hypotonia |
TPM2 function has not been fully characterized.
Congenital myopathy 23 is associated with mutations in the TPM2 gene on chromosome 9.
Genetic testing for TPM2 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 5 always present features, 1 very common feature, 9 common features.
No clinical trials have been registered for congenital myopathy 23.
4 publications have been identified in PubMed for congenital myopathy 23. Research spans Epidemiology / Natural History (50%), Review / Meta-Analysis (25%), and Basic Science / Preclinical (25%).
Michael E (2026). [PMID: 41159764](https://pubmed.ncbi.nlm.nih.gov/41159764/). *Ann Neurol*. [Epidemiology / Natural History]
Khadilkar SV (2025). [PMID: 41099380](https://pubmed.ncbi.nlm.nih.gov/41099380/). *Ann Indian Acad Neurol*. [Review / Meta-Analysis]
Hildebrandt C (2025). [PMID: 40661861](https://pubmed.ncbi.nlm.nih.gov/40661861/). *Neurol Genet*. [Basic Science / Preclinical]
Harikrishna GV (2024). [PMID: 38968056](https://pubmed.ncbi.nlm.nih.gov/38968056/). *J Neuromuscul Dis*. [Epidemiology / Natural History]
Data assembled from 5 of 12 sources · Last updated Sep 18, 2026, 11:59 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Brain and nerves |
8 |
Seizure, Waddling gait, Hyporeflexia |
Bones and joints | 6 | Kyphoscoliosis, Skeletal muscle atrophy, Centrally nucleated skeletal muscle fibers |
Arms and legs | 3 | Limb muscle weakness, Lower limb muscle weakness, Tip-toe gait |
Head and neck | 2 | Facial diplegia, High palate |
Digestive system | 2 | Feeding difficulties in infancy, Difficulty swallowing (dysphagia) |
Lab test results | 1 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration) |