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Duchenne muscular dystrophy HY
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Duchenne muscular dystrophy HY
1.
Duchenne muscular dystrophy Clinical presentation •
Onset at age 2-3 • Proximal muscle weakness (eg, Gower sign, calf pseudohypertrophy) • Dilated cardiomyopathy • Scoliosis Diagnosis • ↑ Serum creatine kinase • Genetic testing: dystrophin deletion • Muscle biopsy: fibrosis, fat, muscle degeneration Treatment • Glucocorticoids Prognosis • Wheelchair dependent by adolescence • Death at age 20-30 from respiratory/heart failure
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