{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,15]],"date-time":"2024-09-15T21:25:58Z","timestamp":1726435558877},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2010,9]]},"abstract":"\n Introduction:<\/jats:title>\n We report a patient with acid maltase deficiency who presented with subacute respiratory failure as the first symptom without significant extremity weakness.<\/jats:p>\n <\/jats:sec>\n \n Methods and Results:<\/jats:title>\n Electromyography of extremities was normal but showed myopathic changes and myotonic discharges limited to axial muscles only. Muscle biopsy confirmed the diagnosis.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n It is essential to examine axial muscles during electromyography if a patient presents with respiratory failure of unclear etiology even if the clinical examination does not show significant weakness in the extremities and electromyographic findings in the extremities are unremarkable.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/cnd.0b013e3181d7c323","type":"journal-article","created":{"date-parts":[[2010,8,28]],"date-time":"2010-08-28T11:03:52Z","timestamp":1282993432000},"page":"30-35","update-policy":"http:\/\/dx.doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Adult-Onset Acid Maltase Deficiency With Isolated Axial Muscle Involvement"],"prefix":"10.1097","volume":"12","author":[{"given":"Bassel","family":"Salem","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pariwat","family":"Thaisetthawatkul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J Americo","family":"Fernandes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodney D","family":"McComb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-4-20240808","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1183\/09031936.05.00020005","article-title":"Respiratory insufficiency and limb muscle weakness in adults with Pompes disease.","volume":"26","author":"Pellegrini","year":"2005","journal-title":"Eur Respir J"},{"key":"R2-4-20240808","first-page":"82","article-title":"Pompe disease (glycogen storage 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