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Writer's pictureDr. Sanika Pawar

Duchene's Muscular Dystrophy



Duchenne muscular dystrophy (DMD) is a genetic illness characterized by progressive muscle degeneration and weakening caused by mutations in a protein called dystrophin, which aids in the maintenance of muscle cells.

DMD is one of four dystrophinopathies (conditions characterized by a lack of dystrophin). Becker Muscular Dystrophy (BMD, a mild form of DMD); an intermediate clinical presentation between DMD and BMD; and DMD-associated dilated cardiomyopathy (heart disease) with little or no clinical skeletal, or voluntary, muscle illness are the other three disorders in this category.


Causes


  • DMD develops when a faulty DMD gene fails to create any functional dystrophin.

  • Female carriers of an X-linked ailment have a 25% chance of having a carrier daughter like themselves, a 25% risk of having a non-carrier daughter, a 25% chance of raising a son afflicted by the disease, and a 25% chance of having an unaffected son with every pregnancy.

  • If a man with an X-linked illness can procreate, he will pass the faulty gene on to all his daughters who will be transmitters. A man cannot convey an X-linked gene to his children since males always pass their Y chromosome to male offspring instead of their X chromosome.


Signs and Symptoms


Typical signs and symptoms that occur in early infancy include:

  • Falls that occur frequently

  • Difficulty getting out of laying or sitting posture Difficulty sprinting and leaping

  • The waddling gait

  • Taking a walk on your toes

  • Large calf muscles

  • Muscle stiffness and discomfort

  • Disabilities in learning

  • Growth has been slowed.

  • Risk factors

  • Being underweight as indicated by the BMI

  • Having impaired lung function

  • A high blood concentration of a protein related to heart damage


Treatment


Occupational Therapy

Physiotherapy

Braces and assistive devices

Medications

Nutritional guidance

guidance from an orthopedic physician

Psychological assistance




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