Abstract
We report a man who developed selenium-deficient myopathy during long-term parenteral nutrition. Muscle biopsy showed marked mitochondrial depletion in the deep sarcoplasm and enlarged mitochondria at the periphery mainly in type 2 fibers. Muscle weakness improved gradually after the second course of selenium supplementation. The peculiar mitochondrial abnormalities in muscle fibers appear to play a key role in the pathogenesis of selenium-deficient myopathy.
MeSH terms
-
Adult
-
Humans
-
Male
-
Microscopy, Electron
-
Mitochondria / pathology*
-
Mitochondrial Myopathies / drug therapy
-
Mitochondrial Myopathies / etiology*
-
Mitochondrial Myopathies / pathology*
-
Muscle Weakness / drug therapy
-
Muscle Weakness / physiopathology
-
Muscles / pathology
-
Muscular Diseases / drug therapy
-
Muscular Diseases / etiology*
-
Muscular Diseases / pathology*
-
Parenteral Nutrition / adverse effects
-
Selenium / deficiency*
-
Selenium / therapeutic use
-
Time Factors