A symptomatic female patient with Duchenne muscular dystrophy diagnosed by dystrophin-staining : a case report

We report a case of symptomatic carrier of Duchenne muscular dystrophy (DMD) in a 14-year-old girl with no prior family history of DMD. She presented with chest pain, enlarged calf muscles, an elevated serum creatine kinase (CK), and decreased left ventricular function. Histological examination of s...

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Veröffentlicht in:European journal of pediatrics 1992, Vol.151 (1), p.66-68
Hauptverfasser: SHIGIHARA-YASUDA, K, TONOKI, H, GOTO, Y, ARAHATA, K, ISHIKAWA, N, KAJII, N, FUJIEDA, K
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container_end_page 68
container_issue 1
container_start_page 66
container_title European journal of pediatrics
container_volume 151
creator SHIGIHARA-YASUDA, K
TONOKI, H
GOTO, Y
ARAHATA, K
ISHIKAWA, N
KAJII, N
FUJIEDA, K
description We report a case of symptomatic carrier of Duchenne muscular dystrophy (DMD) in a 14-year-old girl with no prior family history of DMD. She presented with chest pain, enlarged calf muscles, an elevated serum creatine kinase (CK), and decreased left ventricular function. Histological examination of skeletal muscle revealed myopathic changes and immunostaining with anti-dystrophin antiserum demonstrated a mosaic pattern which are compatible with the observations in carriers of DMD. Southern blots using the dystrophin cDNA revealed no evidence of a deletion within the DMD gene in the patient or in her mother. We found this observation interesting for two reasons: 1. Cardiomyopathy is rare in female DMD patients. 2. Immunostaining of a muscle biopsy with anti-dystrophin serum proved to be valuable in the diagnosed for symptomatic carriers of the dystrophin gene mutation.
doi_str_mv 10.1007/BF02073897
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ispartof European journal of pediatrics, 1992, Vol.151 (1), p.66-68
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subjects Adolescent
Biological and medical sciences
Biopsy
Blotting, Southern
Diseases of striated muscles. Neuromuscular diseases
DNA, Circular - genetics
Dystrophin - immunology
Dystrophin - isolation & purification
Female
Humans
Immunohistochemistry - methods
Medical sciences
Muscular Dystrophies - diagnosis
Muscular Dystrophies - genetics
Muscular Dystrophies - pathology
Neurology
Staining and Labeling
title A symptomatic female patient with Duchenne muscular dystrophy diagnosed by dystrophin-staining : a case report
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