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Distal myopathy with posterior leg and anterior hand involvement, also named distal ABD-filaminopathy, is a neuromuscular disease characterized by a progressive symmetric muscle weakness of anterior upper and posterior lower limbs.
Features include very common findings: Intrinsic hand muscle atrophy, Exercise-induced myalgia, Hyporeflexia of lower limbs, and Inability to walk and others; and common findings: Finger flexor weakness, Distal lower limb muscle weakness, Foot dorsiflexor weakness, and Limited knee flexion and others. 29 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 16 | Skeletal muscle atrophy, Myopathy, Muscle weakness |
FLNC encodes filamin C (2,725 aa). Muscle-specific filamin, which plays a central role in sarcomere assembly and organization. Highest expression in Muscle Skeletal (996.8 TPM) and Colon Sigmoid (375.8 TPM).
Distal myopathy with posterior leg and anterior hand involvement is associated with mutations in the FLNC gene on chromosome 7.
FLNC is classified as a druggable target (Transporter category) with score 0.0.
Genetic testing for FLNC is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 5 very common features, 7 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for distal myopathy with posterior leg and anterior hand involvement.
116 publications have been identified in PubMed for distal myopathy with posterior leg and anterior hand involvement. Kisho has analyzed 35 by research type. Research spans Basic Science / Preclinical (40%), Review / Meta-Analysis (29%), and Clinical Trial Publication (20%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 14 | 40% |
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 9:48 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Arms and legs | 11 | Distal upper limb amyotrophy, Distal lower limb amyotrophy, Finger flexor weakness |
Brain and nerves | 5 | Hyporeflexia, Gait imbalance, Hyporeflexia of lower limbs |
Heart and blood vessels | 2 | Heart muscle disease (cardiomyopathy), Abnormality of the cardiovascular system |
Bones and joints | 1 | Skeletal muscle atrophy |
Lab test results | 1 | Mildly elevated creatine kinase |
Head and neck | 1 | Weakness of facial musculature |
Research summaries | 10 | 29% |
Clinical study results | 7 | 20% |
Other research | 2 | 6% |
Patient case studies | 2 | 6% |
Grotewiel RK (2026). [PMID: 31536216](https://pubmed.ncbi.nlm.nih.gov/31536216/). *Unknown Journal*. [Basic Science / Preclinical]
Velmurugan K (2025). [PMID: 40992975](https://pubmed.ncbi.nlm.nih.gov/40992975/). *J World Fed Orthod*. [Review / Meta-Analysis]
Galant K (2025). [PMID: 40869661](https://pubmed.ncbi.nlm.nih.gov/40869661/). *J Clin Med*. [Review / Meta-Analysis]
Xie Z (2025). [PMID: 40299186](https://pubmed.ncbi.nlm.nih.gov/40299186/). *Clin Oral Investig*. [Review / Meta-Analysis]
Wang Z (2025). [PMID: 40312381](https://pubmed.ncbi.nlm.nih.gov/40312381/). *Nat Commun*. [Basic Science / Preclinical]
Noble MB (2025). [PMID: 39965726](https://pubmed.ncbi.nlm.nih.gov/39965726/). *J Shoulder Elbow Surg*. [Clinical Trial Publication]
Brady JM (2025). [PMID: 41163971](https://pubmed.ncbi.nlm.nih.gov/41163971/). *Video J Sports Med*. [Basic Science / Preclinical]
Viet H (2025). [PMID: 39967840](https://pubmed.ncbi.nlm.nih.gov/39967840/). *Clin Case Rep*. [Basic Science / Preclinical]
Di Eusanio M (2025). [PMID: 41098995](https://pubmed.ncbi.nlm.nih.gov/41098995/). *Ann Cardiothorac Surg*. [Other]
Fort C (2025). [PMID: 40185731](https://pubmed.ncbi.nlm.nih.gov/40185731/). *Nat Commun*. [Basic Science / Preclinical]