The associated distal myopathy with predominant finger extensor weakness, histopathological evidence of myopathy with rimmed vacuoles, and co‐existing TIA1 c.1070A > G, p.Asn357Ser variant, known to cause myopathy in combination with a SQSTM1 mutation,31, 34 supported the pathogenic role of SQSTM1 c.1160C > T, p.Pro387Leu in the genesis of the myopathy. The gene discussed is TIA1; the disease is distal myopathy.