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Abstract Background: Metabolic myopathies (MM) are rare inherited primary muscle disorders that are mainly due to abnormalities of muscle energy metabolism resulting in skeletal muscle dysfunction..1 The main sources of adenosine triphosphate (ATP) in cells are glycogen, glucose and free fatty acids (FFA) 2. These diseases include disorders of fatty acid oxidation, glycol (geno)lytic muscle disorders and mitochondrial respiratory chain (MRC) disease. 1 Aim of work : to study the characteristics of metabolic myopathies among a cohort of Egyptian Patients. Patients and methods: Clinical and neurological assessment by clinical history and examination, including epidemiological and demographic variables (age, sex, clinical presentation, age of onset, family pedigree, past history) for patients who had Myopathic Electromyography. Results: out of 123 patients with myopathic electromyogram, there were 91 patients had at least one sign or symptom suggestive of metabolic myopathies. Conclusion: Myalgia, cramps, exercise intolerance and respiratory affection which are common symptoms suggestive of metabolic myopathies are common between myopathic patients and those patients need more investigation to be correctly diagnosed. |