Inherited myopathy, MD

Symptoms vary with the different types of muscular dystrophy.

All of the muscles may be affected. Or, only specific groups of muscles may be affected, such as those around the pelvis, shoulder, or face. Muscular dystrophy can affect adults, but the more severe forms tend to occur in early childhood.

Symptoms include:

• Mental retardation (only present in some types of the condition)
• Muscle weakness that slowly gets worse
  • Delayed development of muscle motor skills
  • Difficulty using one or more muscle groups
  • Drooling
  • Eyelid drooping (ptosis)
  • Frequent falls
  • Loss of strength in a muscle or group of muscles as an adult
  • Loss in muscle size
  • Problems walking (delayed walking)

A physical examination and your medical history will help the doctor determine the type of muscular dystrophy. Specific muscle groups are affected by different types of muscular dystrophy.

The doctor's exam may show:

• Abnormally curved spine (scoliosis)
• Joint contractures (clubfoot, clawhand, or others)
• Low muscle tone (hypotonia)

Some types of muscular dystrophy involve the heart muscle, causing cardiomyopathy or disturbed heart rhythm (arrhythmias).

Often, there is a loss of muscle mass (wasting), which may be hard to see because some types of muscular dystrophy cause a build-up of fat and connective tissue that makes the muscle appear larger. This is called pseudohypertrophy.

A muscle biopsy may be used to confirm the diagnosis. In some cases, a DNA blood test may be all that is needed.

Other tests may include:

• Heart testing - electrocardiography (ECG)
• Nerve testing - electromyography (EMG)
• Blood testing - including CPK level
• Genetic testing for some forms of muscular dystrophy

This disease may also alter the results of the following tests:

• Aldolase
• AST
• Creatinine
• LDH
• Myoglobin - urine and blood

Images

Superficial anterior muscles

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Muscular dystrophy Overview

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Muscular dystrophy Treatment

Review Date: 03/09/2010
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine; Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)