The reported phenotypes included 53 patients (90%) diagnosed with inclusion body myopathy, 17 patients (29%) with Paget’s disease of bone, eight patients (14%) with dementia, six patients (10%) with peripheral neuropathy, four patients (7%, two patients were with R155H or R191Q mutation in VCP gene) with cardiomyopathy, four patients (7%) with cataracts, two patients (3%) with ALS, and one patient (2%) with Parkinson’s disease (Fig. 1). The gene discussed is VCP; the disease is Paget disease.