Clinical characteristics of different forms of myotonic dystrophy type 1

E. K. Erokhina, E. Melnik, D. Vlodavets
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Abstract

Myotonic dystrophy type 1 (DM1) is one of the most common neuromuscular diseases with an autosomal dominant type of inheritance associated with expansion in the DMPK gene. A distinctive feature of the disease is the presence of muscle symptoms and multisystemic. Depending on the age of onset and the number of CTG repeats, there are congenital, infantile, juvenile, classic (adult) form and a form with a late onset. Each form is characterized by its own features of the onset, course of the disease, heterogeneity of clinical manifestations, which makes it difficult to make a timely diagnosis. Increasing the awareness of physicians of all specialties about the nature of the course of various forms will make it possible to diagnose MD1 at an earlier stage, improve the prognosis and quality of life of patients. The article provides a literature review that demonstrates the spectrum of clinical manifestations in various forms of MD1.
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不同形式1型强直性肌营养不良的临床特点
肌强直性营养不良1型(DM1)是最常见的神经肌肉疾病之一,常染色体显性遗传与DMPK基因扩增相关。该疾病的一个显著特征是存在肌肉症状和多系统。根据发病年龄和CTG重复次数的不同,有先天性、婴儿期、青少年期、经典(成人)型和晚发病型。每一种形式都有其自身的发病特点、病程特点、临床表现的异质性等特点,使其难以及时诊断。提高各专科医生对各种形式病程性质的认识,将使MD1的早期诊断成为可能,改善患者的预后和生活质量。这篇文章提供了一个文献综述,展示了各种形式MD1的临床表现谱。
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