Neurol. praxi. 2019;20(3):180-182 | DOI: 10.36290/neu.2019.111

Duchenne muscular dystrophy

MUDr. Lenka Juříková1, MUDr. Zdeňka Bálintová1, MUDr. Jana Haberlová, Ph.D.2
1 Neuromuskulární centrum Kliniky dětské neurologie FN Brno a LF MU, Brno
2 Neuromuskulární centrum Kliniky dětské neurologie FN Motol, Praha

Duchenne/Becker muscular dystrophy, caused by mutations in dystrophin gene,is one of the most frequent muscular dystrophies. First
symptoms of DMD include delayed motor milestones, difficult running or climbing stairs. Boys with DMD use the Gower´s maneuver to
arise from floor. Cardiomyopathy and respiratory failure most often occur in the third decade. Diagnostical process is based on clinical
picture, blood tests results (esp. elevated CK) and confirmation on molecular genetic base. Treatment aims to control symptoms. New drugs
in clinical practice as well as in clinical trials together with better multidisciplinary care can prolong patients life and improve its quality.

Keywords: Duchenne/Becker muscular dystrophy, dystrophin, creatinkinase, ataluren, multidisciplinary care

Published: June 12, 2019  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Juříková L, Bálintová Z, Haberlová J. Duchenne muscular dystrophy. Neurol. praxi. 2019;20(3):180-182. doi: 10.36290/neu.2019.111.
Download citation

References

  1. Aartsma-Rus A, Bremmer-Bout M, Janson AAM, Kaman WE, den Dunnen JT, Baas F, van Ommen JG, van Deutekom JC. Targeted exon skipping as a potential gene correction therapy for Duchenne muscular dystrophy. Neuromuscular Disorders, Vol.12, Oct 2002: 71-77. Go to original source... Go to PubMed...
  2. Banihani R, Smile S, Yoon G, Dupuis H, Mosleh M, Snider A, McAdam L. Cognitive and Neurobehavioral Profile in Boys With Duchenne Muscular Dystrophy. J Child Neurol 2015;: 30: 1472-1482. Go to original source... Go to PubMed...
  3. Birnkrant DJ, Bushby K, Bann CM, Apkon SD, Blackwell A, Brumbaugh D, Case LE, Clemens PR, Hadjiyannakis S, Pandya S, Street N, Tomezsko J, Wagner KR, Ward LM, Weber DR, DMD CARE Considerations Working Group. Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management. Lancet Neurol. 2018; 17(3): 251-267. Go to original source...
  4. Birnkrant DJ, Bushby K, Bann CM, Apkon SD, Blackwell A, Brumbaugh D, Case LE, Clemens PR, Hadjiyannakis S, Pandya S, Street N, Tomezsko J, Wagner KR, Ward LM, Weber DR, DMD CARE Considerations Working Group. Diagnosis and management of Duchenne muscular dystrophy, part 2: respiratory, cardiac, bone health, and orthopaedic management. Lancet Neurol. 2018; 17(4): 347-361. Go to original source...
  5. Birnkrant DJ, Bushby K, Bann CM, Apkon SD, Blackwell A, Brumbaugh D, Case LE, Clemens PR, Hadjiyannakis S, Pandya S, Street N, Tomezsko J, Wagner KR, Ward LM, Weber DR, DMD CARE Considerations Working Group. Diagnosis and management of Duchenne muscular dystrophy, part 3: primary care, emergency management, psychosocial care, and transitions of care across the lifespan. Lancet Neurol. 2018; 17(5): 445-455. Go to original source... Go to PubMed...
  6. Bushby K, Bourke J, Bullock R, Eagle M, Gibson M, Quinby J. The multidisciplinary management of Duchenne muscular dystrophy. Current Paediatrics 2005; 15: 292-300. Go to original source...
  7. Dent KM, Dunn DM, von Niderhausern AC, AoyagiAT, Kerr L, Bromberg MB, Hart KJ, Tuohy T, White S, den Dunnen JT, Weiss RB, Flanigen KM. Improved molecular diagnosis of dystrophinopathies in an unselected clinical cohort. Am J Med Genet A 2005; 134: 295-298. Go to original source...
  8. Gloss D, Moxley R, Ashwal S, Oskoui M. Practice guideline update summary: Corticosteroid treatment of Duchenne muscular dystrophy.Neurology Feb 2016; 86(5): 465-472. Go to original source... Go to PubMed...
  9. Griggs RC, Miller JP, Greenberg CR, Fehlings DL, Pestronk A, Mendell JR, Moxley RT 3rd, King W, Kissel JT, Cwik V, Vanasse M, Florence JM, Pandya S, Dubow JS, Meyer JM. Efficacy and safety of deflazacort vs prednisone and placebo for Duchenne muscular dystrophy. Neurology. 2016; 87(20): 2123-2131. Epub 2016 Aug 26 Go to original source... Go to PubMed...
  10. McDonald CM, Campbell C, Torricelli RE, Finkel RS, Flanigen KM, Goemans N, Heydemann P, Kaminska A, Kirchner J, Muntoni F, Osorio AN, Schara U, Sejersen T, Shieh PB, Sweeney HL, Topaloglu H, Tulinius M, Vilchez JJ, Voit T, Wong B, Elfring G, Kroger H, Luo X, McIntosh J, Ong T, Rieblinq P, Souza M, Spiegel RJ, Peltz SW, Mercuri E, Clinical Evaluator Training Group, ACT DMD Study group. Ataluren in patients with nonsense mutation Duchenne muscular dystrophy (ACT DMD): a multicentre, randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2017; 390(10101): 1489-1498 Go to original source...
  11. Mrázová L. Nervosvalová onemocnění v dětském věku. In Ošlejšková H, a kol. Dětská neurologie. Olomouc, Solen 2015.
  12. Mrázová L. Duchennova svalová dystrofie - patogeneze, klinický obraz, diagnostika, aktuální možnosti terapie. Neurológia 2016; 11(1): 13-15.
  13. Yiu EM, Kornberg AJ. Duchenne muscular dystrophy. Neurol India. 2008; 56(3): 236-247. Go to original source... Go to PubMed...




Neurology for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.