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Muscular dystrophy

  • Alternative Names

    Inherited myopathy, MD


    Symptoms

    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)

    Signs and tests

    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