2014, Número 2
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Med Int Mex 2014; 30 (2)
Distrofia miotónica de Steinert: caso clínico de una familia y revisión de la bibliografía
Flores-López EN, Tovilla-Ruiz CK, García-Padilla E, Sandoval-Gutiérrez RB, Álvarez-Torrecilla LC
Idioma: Español
Referencias bibliográficas: 31
Paginas: 195-203
Archivo PDF: 545.14 Kb.
RESUMEN
La distrofia miotónica tipo I o enfermedad de Steinert es una enfermedad
multisistémica de origen genético autosómica dominante, generada
por la alteración de la expansión del trinucletótido CTG, ubicado en
el 3’ extremo del gen DPKM (
myotonic dystrophy protein kinase) en el
cromosoma 19q13.3 con alteraciones en el músculo esquelético, cardiacas,
oculares, endocrinas y principalmente neurológicas. Tiene cuatro
formas clínicas, el diagnóstico se establece con estudios genéticos, datos
clínicos y electromiografía. Hasta ahora el tratamiento es únicamente
sintomático y existen múltiples estudios en proceso de traslocaciones
genéticas. Comunicamos el caso de una familia con enfermedad de
Steinert en la que seis integrantes murieron a consecuencia de las
manifestaciones clínicas de la enfermedad.
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