Caring for someone with this diagnosis? Eleplan keeps diagnoses, medications, documents and every specialist in one plan.
Start free with EleplanCalpain-3-related limb-girdle muscular dystrophy R1
ORPHA:267Disease
Also called Autosomal recessive limb-girdle muscular dystrophy type 2A · Calpain-3-related LGMD R1 · LGMD type 2A · LGMD2A · Limb-girdle muscular dystrophy due to calpain deficiency · Limb-girdle muscular dystrophy type 2A · Primary calpainopathy
What it is
A subtype of autosomal recessive limb girdle muscular dystrophy characterized by a variable age of onset of progressive, typically symmetrical and selective weakness and atrophy of proximal shoulder- and pelvic-girdle muscles (gluteus maximus, thigh adductors, and muscles of the posterior compartment of the limbs are most commonly affected) without cardiac or facial involvement. Clinical manifestations include exercise intolerance, a waddling gait, scapular winging and calf pseudo-hypertrophy.
Key facts
- Prevalence
- 1-9 / 100 000 (Europe)
- Age of onset
- Adolescent, Adult, Childhood
- Inheritance
- Autosomal recessive
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Common30–79%
18- Ankle flexion contracture
- Calf muscle hypertrophy
- Congenital finger flexion contractures
- Elbow flexion contracture
- Elevated circulating creatine kinase concentration
- Flexion contracture
- Gait disturbance
- Hamstring contractures
- Hyperlordosis
- Lower limb muscle weakness
- Muscular dystrophy
- Pectoralis amyotrophy
- Pelvic girdle amyotrophy
- Proximal muscle weakness
- Scapular muscle atrophy
- Scapular winging
- Spinal rigidity
- Tip-toe gait
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Benefit programs to look at
Programs whose eligibility touches the same ICD-10 categories. Eligibility is decided by the administering agency, never by this page.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
Powered by Eleplan
A rare diagnosis is just the start. Eleplan keeps the whole care plan in one place.
Diagnoses, medications, documents, appointments, and the whole care team — organized and always in sync, so you are not retelling the same story to every new specialist. With Ellie, your AI care assistant, on top of it. Free to start.