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July 16
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A myMDteam Member

Age 60. Dianosed with COL6A3 at 57. Does anyone have swallowing issues. (I have a Jejunum Feeding Tube), hate it! Or respiratory weakness, I have an at home IVAP, but not a trache yet! Seems like our symptoms are all over the place for each individual. Doctors call it slow progressing... I call it very debilitating. Can't drive, AFO on both legs. Left sided first, now my right hand, my best extremity has severe pain. I am hoping someone can give me some insight.

September 13
A myMDteam Member

I have Bethlem myopathy type 2 as well and finding there is not a lot of info about this type.
Would love to hear from others who suffer from this type and what struggles they face. So hard for anyone around us to understand muscle weakness and why exercises can’t help overcome this…..

July 28
myMDteam

Great question! Bethlem myopathy is indeed a collagen-related form of muscular dystrophy — and the "A3" part is simpler than it sounds.

COL6A3 is just the name of one of three genes involved in making collagen type VI protein. Think of it like a recipe with three ingredients:

- COL6A1 — gene #1
- COL6A2 — gene #2
- COL6A3 — Show Full Answer

Great question! Bethlem myopathy is indeed a collagen-related form of muscular dystrophy — and the "A3" part is simpler than it sounds.

COL6A3 is just the name of one of three genes involved in making collagen type VI protein. Think of it like a recipe with three ingredients:

- COL6A1 — gene #1
- COL6A2 — gene #2
- COL6A3 — gene #3

The "A" stands for "alpha," and the number just identifies which of the three genes it is. All three work together to build collagen VI, a protein that keeps muscle cells strong and supported. Bethlem myopathy is not exactly a subtype in the traditional sense — it's actually the mildest form within a group called Collagen VI-Related Dystrophies (COL6-RDs). The most severe form in this group is called Ullrich congenital muscular dystrophy.

A mutation in any one of the three COL6 genes (A1, A2, or A3) can cause Bethlem myopathy. When these genes don't work properly, collagen VI protein can't do its job, and muscles gradually weaken over time.

It's always worth discussing which specific gene mutation applies to your situation with your neurologist, as it can help guide your care plan.

July 16

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