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Living with Myofibrillar myopathy 2

A rare inherited muscle condition with weakness that starts in adulthood, sometimes with heart problems and cataracts.

Understanding Myofibrillar myopathy 2

Myofibrillar myopathy 2 is a rare genetic muscle condition that starts in adulthood and is linked to the CRYAB gene.

People have slowly worsening weakness and wasting in the muscles of the arms and legs. It can also involve the throat, causing trouble swallowing and a changed voice, and sometimes weak breathing muscles. Heart muscle disease and cataracts in the back of the lens can occur in some people.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Muscle weakness in the hands, feet, and lower legs
  • Weakness near the center of the body
  • Neck muscle weakness
  • Trouble swallowing (dysphagia)
  • Voice changes (dysphonia)
  • Cataracts

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and heart and blood vessel specialists.

  3. Consider genetic testing

    Changes in CRYAB are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Muscular Dystrophy Association and Children's Cardiomyopathy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Muscular Dystrophy Association, Children's Cardiomyopathy Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Muscular Dystrophy Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Should we have genetic testing for the CRYAB gene?
Should my heart, eyes, and swallowing be checked regularly?
How can I check my breathing muscles?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesCRYAB

GARD lists changes in the CRYAB gene. The condition is autosomal dominant, which means one changed copy of the gene can be enough to cause it.

GeneticNeurological

Also known as: alpha-b crystallin-related late-onset distal myopathy; alpha-b crystallin-related late-onset myopathy; alpha-b crystallinopathy; autosomal dominant distal myopathy caused by mutation in cryab; cryab autosomal dominant distal myopathy; cryab-related myofibrillar myopathy

Patient organizations

Source: NIH GARD · Myofibrillar myopathy 2GARD ID 17651 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Myofibrillar myopathy 2.

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