2010, Number 1
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Rev Med MD 2010; 1.2 (1)
Duchenne’s muscular dystrophy. Case report
Soto-Vargas J
Language: Spanish
References: 11
Page: 33-38
PDF size: 552.18 Kb.
ABSTRACT
8-years old infant masculine presents with progressive muscular weakness, started at the age of 3 years with frequent falls.
Weakness continued limiting his movements and finally he wasn't able to seat by himself. He is referred to Hospital Civil de
Guadalajara Fray Antonio Alcalde for evaluation. Here is found an important elevation of muscular enzymes,
electromyography suggests muscular damage, biopsy with dystrophic pattern and a PCR study for DMD gene positive for
deletion of exon 50. Duchenne muscular dystrophy is diagnosed. Any progressive weakness that has an onset in the toddler
should alert the physician to suspect Duchenne's muscular dystrophy. Duchenne s muscular dystrophy is a X-linked, severe and
progressive disease, wich requires a multidisciplinary management, being the most frequent muscular dystrophy.
REFERENCES
Mirovsky, Y., Copeliovich, L., & Halperin, N. Gowers' sign. J Pediatr Orthop B 2005; 68-70.
Bushby, K., Finkel, R., Birnkrant, D., Case, L., Clemens, P., Cripe, L., y otros. Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and pharmacological and psychosocial management. Lancet Neurol 2010; 77-93.
Bushby, K., Bourke, J., Eagle, M., Bullock, R., Gibson, M., & Quinby, J. The multidisciplinary management of Duchenne muscular dystrophy. Current Paediatrics 2005; 292-300.
Palmieri, B., & Sblendorio, V. Duchenne Muscular Dystrphy: An Update, Part II. J Clin Neuromusc Dis, 2007; 122-151.
Soltanzadeh, P., Friez, M., Dunn, D., Niederhausern, A., Gurvich, O., Swoboda, K., y otros. Clinical and genetic characterization of manifesting carriers of DMD mutations. Neuromuscular Disorders 2010.
López-Hernández , L. B., Vázquez-Cárdenaz, N. A., & Luna-Padrón, E. Distrofia muscular de Duchenne: actualidad y perspectivas de tratamiento. Rev Neurol 2009; 369-375.
Taylor, P. J., Maroulis, S., Betts, G., Gilissen, C., & Pedersen, R. Dystrophin Gene Mutation Location and the Risk of Cognitive Impairment in Duchenne Muscular Dystrophy. PLoS ONE 2010; 1-9.
Connolly AM, Schierbecker J, Renna R, et al. High dose weekly oral prednisone improves strength in boys with Duchenne muscular dystrophy. Neur Disord. 2002;12:917–925
Biggar WD, Gingras M, Fehlings DL, et al. Deflazacort treatment of Duchenne muscular dystrophy. J Pediatr 2001;138:45–50.
Karpati G, Ajdukovic D, Arnold D, et al. Myoblast transfer in Duchenne muscular dystrophy. Ann Neurol 1993;34:8–17
Lattanzi L, Salvatori G, Coletta M, et al. High efficiency myogenic conversion of human fibroblasts by adenoviral vector-mediated MyoD gene transfer. An alternative strategy for ex vivo gene therapy of primarymyopathies. J Clin Invest 1998; 101:2119–2128.