Diagnosis delay of Duchenne Muscular Dystrophy

Author:

Araújo Alexandra Prufer de Queiroz Campos1,Deco Mariana Castro de2,Klôh Beatriz de Sá2,Costa Mariana Rangel da2,Góis Fernanda Veiga de2,Guimarães Ana Flavia Chaves Mendonça2

Affiliation:

1. Instituto de Puericultura e Pediatria Martagão Gesteira; Universidade Federal do Rio de Janeiro, Brasil

2. Universidade Federal do Rio de Janeiro, Brasil

Abstract

OBJECTIVES: to study the clinical features of Duchenne Muscular Dystrophy with emphasis on diagnosis delay. METHODS: an observational descriptive retrospective study was performed using medical records of patients with diagnosis of Duchenne Muscular Dystrophy given in the period from 1989 to 2000 at the neuropediatric out-patient clinic of a University Hospital. RESULTS: immunohistochemical results or deletion on the dystrophin gene confirmed the diagnosis of the 78 boys included in this study. Parents had noticed the first symptoms since the median age of two years. The final diagnosis was reached at a median age of seven. CONCLUSIONS: diagnosis age is closer to the age of ambulation loss than that of the first symptoms. There is a marked delay for the diagnosis of this disease in our setting.

Publisher

FapUNIFESP (SciELO)

Subject

Public Health, Environmental and Occupational Health,Obstetrics and Gynaecology,Pediatrics, Perinatology, and Child Health

Reference18 articles.

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3. The incidence of Duchenne Muscular Dystrophy in eastern Austria. The controversy regarding CK screening;Hauser E;Wien Klin Wochenschr,1993

4. The clinical and molecular genetic approach to Duchenne and Becker Muscular Dystrophy: an updated protocol;van Essen AJ;J Med Genet,1997

5. Consensus recommendation of the 14th workshop sponsored by the European Neuromuscular Center (ENMC);van Ommen GJ;Neuromuscul Disord,1993

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