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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2019, Number 3

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An Med Asoc Med Hosp ABC 2019; 64 (3)

Relationship between Duchenne muscular dystrophy diagnosis and crawling

Perera CRN, Taylor MMA, Villanueva AD, Cervera GM

Language: Spanish
References: 32
Page: 171-177
PDF size: 257.30 Kb.


ABSTRACT

Introduction: Duchenne muscular dystrophy is the most frequent neuromuscular disease in boys in childhood with an X linked recessive inheritance pattern. The absence or delay in crawling could be a sign of early proximal muscle weakness. Objective: To analyze the relationship between crawling and the diagnosis of DMD in patients of the CRIT Estado de Mexico, in order to know if this could be a potential indicator that helps the clinician suspect and make an early diagnosis of the disease. Material and methods: A descriptive-analytical, non-experimental, retrospective, cross-sectional study was conducted in 223 patients with confirmed diagnosis of DMD that attended the clinic of neuromuscular diseases at the CRIT Estado de México during the period from January 1999 to march 2018. Results: 223 patients were studied, 63% did not crawl and 22% did so in a delayed manner. Patients who did not crawl acquired gait 3 months after those who crawled. The group of patients with delayed gait acquisition had a delay of 6.4 months on average. Conclusion: An history of absence or delay in the acquisition of crawling and gait is an association that occurs frequently in patients with diagnosis of DMD. To date in Mexico there are no neonatal screening programs for the disease, so the absence of crawling could be a factor to be considered as a sign of DMD to make an opportune diagnosis.


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