Multisystem proteinopathy: investigations

Evidence-based neurology checklist on multisystem proteinopathy: investigations: Blood tests Creatinine kinase (CK): this is normal or mildly elevated Bone-specific alkaline phosphatase: this is elevated in PDB Pyridinoline Deoxypyridinoline Telopeptides of type I collagen Electromyogram (EMG):…

Blood tests

  • Creatinine kinase (CK): this is normal or mildly elevated
  • Bone-specific alkaline phosphatase: this is elevated in PDB
  • Pyridinoline
  • Deoxypyridinoline
  • Telopeptides of type I collagen

Electromyogram (EMG): features

Muscle biopsy: features

Muscle MRI

Brain imaging

Pathology

Skeletal survey

Radionuclide bone scans

Genetic testing

Other tests

Synonym

Acronym

References

  1. Roy B, Peck A, Evangelista T, et al. Provisional practice recommendation for the management of myopathy in VCP-associated multisystem proteinopathy. Ann Clin Transl Neurol 2023; 10:686-695.
  2. Kimonis VE, Mehta SG, Fulchiero EC, et al. Clinical studies in familial VCP myopathy associated with Paget disease of bone and frontotemporal dementia. Am J Med Genet A 2008; 146A:745-757.
  3. Korb M, Peck A, Alfano LN, et al. Development of a standard of care for patients with valosin-containing protein associated multisystem proteinopathy. Orphanet J Rare Dis 2022; 17:23. 
  4. Farpour F, Tehranzadeh J, Donkervoort S, et al. Radiological features of Paget disease of bone associated with VCP myopathy. Skeletal Radiol 2012; 41:329-337.
  5. Kazamel M, Sorenson EJ, McEvoy KM, et al. Clinical spectrum of valosin containing protein (VCP)-opathy. Muscle Nerve 2016; 54:94-99.
  6. And 6 more. Subscribe to see the full list

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