AbstractWe present a 34‐year‐old woman, from Philippines, diagnosed limb‐girdle muscular dystrophy type 2B with compound heterozygous nonsense mutation W1478* and novel deletion of exons 43‐46 of the dysferlin gene. These loss‐of‐function mutations do not seem to be predictive of a severer clinical course. We report the first identification of microhomologous region of 2 bp (TG) identical sequences surrounding the breakpoint junction. Detailed analysis of the deleted allele should be pursued in order to better understand the underlying mechanism of genomic rearrangements of the dysferlin gene.