Autosomal recessive limb girdle muscular dystrophy type 2E (LGMD2E) is a subtype of autosomal recessive limb girdle muscular dystrophy characterized by a childhood to adolescent onset of progressive pelvic- and shoulder-girdle muscle weakness, particularly affecting the pelvic girdle (adductors and flexors of hip). Usually the knees are the earliest and most affected muscles. In advanced stages, involvement of the shoulder girdle (resulting in scapular winging) and the distal muscle groups are observed. Calf hypertrophy, cardiomyopathy, respiratory impairment, tendon contractures, scoliosis, and exercise-induced myoglobinuria may be observed. The disease is Monarch Disease Ontology term MONDO_0011423 (autosomal recessive limb-girdle muscular dystrophy type 2E). Also known as: LGMD due to beta-sarcoglycan deficiency, LGMD type 2E, LGMD2E, LGMDR4, SGCB autosomal recessive limb-girdle muscular dystrophy, autosomal recessive limb-girdle muscular dystrophy caused by mutation in SGCB, beta-sarcoglycan-related LGMD R4, beta-sarcoglycan-related limb-girdle muscular dystrophy R4.