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논문KCI 등재

청소년기에 진단된 선천성 근육긴장성 이영양증

Congenital Myotonic Dystrophy Diagnosed in an Adolescent Period

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초록

Type 1 myotonic dystrophy (DM1) is an autosomal-dominant inherited disorder with multisystem involvement, caused by an abnormal expansion of CTG sequence of the dystrophia myotonica protein kinase (DMPK) gene on chromosome 19. Congenital myotonic dystrophy (CDM) is the most severe phenotypic form of DM1. CMD tends to be observed in congenitally affected fetus or neonates born to affected mothers. We report a patient confirmed as CDM during the adolescent period.

Abstract

Type 1 myotonic dystrophy (DM1) is an autosomal-dominant inherited disorder with multisystem involvement, caused by an abnormal expansion of CTG sequence of the dystrophia myotonica protein kinase (DMPK) gene on chromosome 19. Congenital myotonic dystrophy (CDM) is the most severe phenotypic form of DM1. CMD tends to be observed in congenitally affected fetus or neonates born to affected mothers. We report a patient confirmed as CDM during the adolescent period.

참고문헌 (10)

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  2. Machuca-Tzili L, "Clinical and molecular aspects of the myotonic dystrophies: a review", Muscle Nerve, 32, pp.1~18 (2005)
  3. Nam SH, "Clinical characteristics of congenital myotonic dystrophy diagnosed by molecular genetic method", Korean J Pediatr, 50, pp.868~874 (2007)
  4. Yang OH, "A case of recurrent hydroamnios in association with congenital myotonic dystrophy", Korean J Perinatol, 16, pp.250~254 (2005)
  5. Park KS, "KEDI-WISC" (1986), Korean educational developmental institute
  6. Wesstrom G, "Congenital myotonic dystrophy: Incidence, clinical aspects and early prognosis", Acta Pediatr Scand, 75, pp.849~854 (1986)
  7. Furling D, "Changes in myotonic dystrophy protein kinase levels and muscle development in congenital myotonic dystrophy", Am J Pathol, 162, pp.1001~1009 (2003)
  8. Kuo HC, "Brain magnetic resonance image changes in a family with congenital and classic myotonic dystrophy", Brain Dev, 27, pp.291~296 (2005)
  9. Di Costanzo, "Brain MRI features of congenital- and adult-form myotonic dystrophy type 1: case-control study", Neuromuscul Disord, 12, pp.476~483 (2002)
  10. Rudnik-Schoneborn S, "Different patterns of obstetric complications in myotonic dystrophy in relation to the disease status of the fetus", Am J Med Genet, 80, pp.314~321 (1998)

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