Duchenne Muscular Dystrophy: Modern Approaches in Patient Management

Inga V. Anisimova, Svetlana B. Artemyeva, Elena D. Belousova, Nato D. Vashakmadze, Dmitriy V. Vlodavets, Tatiana A. Gremyakova, Olga S. Groznova, Valentina I. Guzeva, Elena V. Gusakova, Lyudmila M. Kuzenkova, Alexey L. Kurenkov, Sergey I. Kutsev, Svetlana V. Mikhaylova, Lyudmila P. Nazarenko, Sergey S. Nikitin, Artem Yu. Novikov, Tatiana V. Podkletnova, Elena V. Polevichenko, Alexander V. Polyakov, Gennady G. Prokopyev, Dmitry I. Rudenko, Svetlana A. Repina, Evgeniia V. Romanenko, Sergey O. Ryabykh, Gul’zhan E. Sakbaeva, Elena Yu. Sapego, Liliia R. Selimzyanova, Andrey A. Stepanov, Dmitry M. Subbotin, Vasiliy M. Suslov, Elena V. Tozliyan, Dmirty A. Feklistov, Nadezhda I. Shakhovskaya, Ekaterina V. Shreder
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Abstract

Duchenne muscular dystrophy is one of the most common forms of childhood muscular dystrophies. Its incidence is 1 in 3.5–6 thousand newborn boys according to various sources. The disease is caused by the mutation in the DMD gene coding the dystrophin protein, it leads to the dystrophin absence or malfunction. The disease is characterized by proximal muscle weakness and gastrocnemius muscles pseudohypertrophy. In average, patients lose the ability to walk by themselves by the age of 11 and become nonambulatory. The authors have present modern epidemiological data and etiopathogenesis features of Duchenne muscular dystrophy, and have described clinical signs of different disease stages. The algorithm and key points of differential diagnosis are indicated. Special attention was given to the patients’ management: pathogenetic treatment and rehabilitation of pediatric patients.
杜氏肌萎缩症:病人管理的现代方法
杜氏肌营养不良症是儿童肌营养不良症最常见的形式之一。根据各种来源,其发病率为每3500 - 6000名新生儿中有1名。该疾病是由编码肌营养不良蛋白的DMD基因突变引起的,它导致肌营养不良蛋白缺失或功能障碍。本病以近端肌无力和腓肠肌假性肥大为特征。平均而言,患者在11岁时失去自己行走的能力,变得无法走动。作者介绍了杜氏肌营养不良症的现代流行病学资料和发病特点,并描述了不同疾病阶段的临床症状。给出了鉴别诊断的算法和要点。特别注意患者的管理:儿科患者的发病治疗和康复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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