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Article Synopsis
  • The study focuses on a female proband with a novel mutation in the DMD gene, part of a family affected by pseudohypertrophic muscular dystrophy, analyzing both clinical and genetic features.
  • Methods included collecting clinical data and using technologies like whole-exome sequencing (WES) and methylation analysis to investigate X-chromosome inactivation patterns.
  • The results found the proband with elevated creatine kinase levels and mild calf muscle hypertrophy, revealing a pathogenic DMD variant that implicates several family members, highlighting the importance of combining genetic and clinical assessments in diagnosing muscular dystrophies.
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A man in his 20s presented with a 6-year history of calf muscle hypertrophy, proximal muscle weakness and muscle cramps. Along with this, he also had patchy hair loss, facial puffiness and slurring of speech. On examination, he had mild symmetrical proximal muscle weakness, a delayed relaxation phase of his deep tendon reflexes and a rare neurological sign of myoedema.

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Background: Muscular dystrophies (MDs) are characterized by chronic muscle wasting but also poorly understood metabolic co-morbidities. We have recently shown that Duchenne MD (DMD) patients, dogs and asymptomatic carriers are affected by a new form of dyslipidemia that may exacerbate muscle damage.

Objective: We aimed to perform a systematic review and meta-analysis for evidence that other types of MDs are associated with dyslipidemia compared to healthy controls.

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Article Synopsis
  • Myoedema is an often overlooked neurological sign that can aid in diagnosing metabolic or endocrine-related muscle diseases.
  • When myoedema is identified alongside pseudo-hypertrophy, it strongly suggests hypothyroid myopathy.
  • Recognizing myoedema can help avoid unnecessary tests and streamline the diagnosis process.
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Duchenne Muscle dystrophy (DMD) is a X-linked inherited disease predominantly caused by severe mutations in DMD gene leading to absence of dystrophin protein. Here we report a 14-year-old Mongolian boy suffering from proximal muscle weakness, pseudohypertrophic deltoid and gastrocnemius muscles since early childhood. Lactate dehydrogenase (LDH) and creatine kinase (CK) levels were elevated.

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