BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 下肢力量失衡
  • 下肢肌腱挛缩
  • 动作发展指标推迟

其他诊断因素

  • Gowers体征
  • 用脚趾走路
  • 肌张力减退
  • 好动

危险因素

  • Duchenne肌营养不良(DMD)家族史
  • 男性

诊断性检查

首要检查

  • 血清CK浓度
  • 基因检测
全部具体信息

需要考虑的检查

  • 肌电图
  • 肌肉组织活检
全部具体信息

治疗流程

贡献者

John R. Bach MD, FAAPMR

Professor of Physical Medicine and Rehabilitation

Professor of Neurosciences

Rutgers New Jersey Medical School

Newark

NJ

利益冲突披露
JRB is an author of a number of references cited in this monograph.

Dr John R. Bach and Dr Aravindhan Veerapandiyan would like to gratefully acknowledge Dr Bilal Saulat, a previous contributor to this monograph; Glen Chang for his assistance with research and in preparing the reference list; and Jennifer Michaels for reviewing this monograph. BS, GC, and JM declare that they have no competing interests.

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Assistant Professor of Medicine

Department of Medicine/Neurology

Duke University Medical Center

Durham

NC

利益冲突披露
LDH-W declares that she has no competing interests.

Associate Professor Neurology and Regenerative Medicine

Wake Forest University Health Sciences

Winston-Salem

NC

利益冲突披露
MKC declares that he has no competing interests.

Consultant Paediatric Neurologist

Great Ormond Street Hospital for Children NHS Trust

London

UK

利益冲突披露
AM has been paid an honorarium for giving lectures at the Imperial College Educative Training Courses for GPs and post-graduate doctors. AM is the lead author of the Cochrane review of corticosteroids in Duchenne muscular dystrophy. He is also the Lead Clinician of the NorthStar Clinical Network for Management of Neuromuscular Disorders in the UK.

Senior Lecturer and Consultant Neurologist

Department of Clinical Neuroscience

UCL Institute of Neurology

London

UK

利益冲突披露
RWO is an author of a reference cited in this monograph.

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