Reappraisal of alcoholic myopathy1: Clinical and biopsy study on chronic alcoholics without muscle weakness or wasting

AUTOR(ES)

Faris, Amin A.

RESUMO

To determine if alcoholic neuropathy which causes denervation of the distal muscles of chronic alcoholics also produces a subclinical myopathy of their proximal muscles, we studied 11 chronic alcoholics who had no muscular weakness or wasting. Six patients demonstrated distal hyporeflexic (ankle jerks) sensory neuropathy on clinical examination. Four patients, one of whom was asymptomatic, had slow peroneal motor nerve conduction velocities. Patterns of neuropathy were present in the electromyograms of the proximal muscles of two patients. Muscle biopsy studies with enzyme histochemistry indicated denervation atrophy and myopathic changes in the contralateral quadriceps muscles of eight patients. As denervation atrophy was present, we concluded that these myopathic changes represented the effects of denervation of these muscles. We conclude, therefore, that the proximal subclinical alcoholic myopathy, previously described as primary by ourselves and others, is the result of denervation due to the well-known alcoholic neuropathy.

Documentos Relacionados

• Chronic alcoholic skeletal muscle myopathy: a clinical, histological and biochemical assessment of muscle lipid.
• Muscle wasting in chronic alcoholics: comparative histochemical and biochemical studies.
• Relationship between weakness and muscle wasting in rheumatoid arthritis.
• Pellagra among chronic alcoholics: clinical and pathological study of 20 necropsy cases.
• Wasting, weakness, and the MRC scale in the first dorsal interosseous muscle.