Extrapolating the figures from a previous study on FSHD in a province
of The Netherlands to the entire Dutch population suggests that at pre
sent a nearly complete overview is obtained of all symptomatic kindred
. In 139 families, dominant inheritance was observed in 97, a pattern
compatible with germline mosaicism in 6, while sporadic cases were fou
nd in 36 families. A mutation frequency of 9.6% was calculated. Mental
retardation and severe retinal vasculopathy were reported in low freq
uencies (1%). Early onset was seen more frequently in sporadic cases.
Chromosome 4 linkage appeared excluded in 3 of 22 autosomal-dominant f
amilies. The clinical pictures in the linked and nonlinked families we
re identical. (C) 1995 John Wiley and Sons, Inc.