Clinical aspects of patients with sarcoglycanopathies under steroids therapy

Arq Neuropsiquiatr. 2014 Oct;72(10):768-72. doi: 10.1590/0004-282x20140126.

Abstract

Patients with sarcoglycanopathies, which comprise four subtypes of autosomal recessive limb-girdle muscular dystrophies, usually present with progressive weakness leading to early loss of ambulation and premature death, and no effective treatment is currently available.

Objective: To present clinical aspects and outcomes of six children with sarcoglycanopathies treated with steroids for at least one year.

Method: Patient files were retrospectively analyzed for steroid use.

Results: Stabilization of muscle strength was noted in one patient, a slight improvement in two, and a slight worsening in three. In addition, variable responses of forced vital capacity and cardiac function were observed.

Conclusions: No overt clinical improvement was observed in patients with sarcoglycanopathies under steroid therapy. Prospective controlled studies including a larger number of patients are necessary to determine the effects of steroids for sarcoglycanopathies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Female
  • Glucocorticoids / therapeutic use*
  • Humans
  • Male
  • Prednisolone / therapeutic use*
  • Pregnenediones / therapeutic use*
  • Retrospective Studies
  • Sarcoglycanopathies / drug therapy*
  • Treatment Outcome

Substances

  • Glucocorticoids
  • Pregnenediones
  • Prednisolone
  • deflazacort