Journal
NEUROMUSCULAR DISORDERS
Volume 22, Issue 6, Pages 522-527Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.nmd.2012.01.010
Keywords
Congenital muscular dystrophy; Epidemiology; Differential diagnosis
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Funding
- National Commissioning Group
- Great Ormond Street Children's Charity
- Muscular Dystrophy Campaign (MDC) [RA3/734, PO0916]
- Muscular Dystrophy UK [RA4/924, RA4/0924] Funding Source: researchfish
- Rosetrees Trust [M145] Funding Source: researchfish
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The Dubowitz Neuromuscular Centre is the UK National Commissioning Group referral centre for congenital muscular dystrophy (CMD). This retrospective review reports the diagnostic outcome of 214 UK patients referred to the centre for assessment of 'possible CMD' between 2001 and 2008 with a view to commenting on the variety of disorders seen and the relative frequency of CMD subtypes in this patient population. A genetic diagnosis was reached in 53 of 116 patients fulfilling a strict criteria for the diagnosis of CMD. Within this group the most common diagnoses were collagen VI related disorders (19%), dystroglycanopathy (12%) and merosin deficient congenital muscular dystrophy (10%). Among the patients referred as 'possible CMD' that did not meet our inclusion criteria, congenital myopathies and congenital myasthenic syndromes were the most common diagnoses. In this large study on CMD the diagnostic outcomes compared favourably with other CMD population studies, indicating the importance of an integrated clinical and pathological assessment of this group of patients. (C) 2012 Elsevier B.V. All rights reserved.
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