A case with Progressive Muscular Dystrophy
|
Yong II Lee, Byong Yoon Lee, Sang Jhoo Lee |
Dept, of Pediatrics Hanil Hospital, Seoul, Korea |
進行性筋蔡縮症一例 |
李庸一, 李丙玧, 李尙主 |
韓一病院小兒科 |
|
|
Abstract |
A twelve years and five months old boy was admitted to the Hanil Hospital on August 17, 1964 because of limping and muscular weakness. He was normal full term spontaneous delivery. No family incidence of this disease was detectable. Father was afflicted with gonorrhea or other venereal disease several times and mother has contracted pulmonary tuberculosis four years ago. The patient was somewhat undernourished and underdeveloped. He showed the sign of Gowers, who described the movements necessary for persons with this disease to rise from a sitting position on the floor to a standing position. His tendon relexes were markedly hypoactive especially the knee jerks were absent. Laboratory examination revealed that the increase in 24 hours urinary creatine excretion and decreased excretion of creatinine. Muscle biopsy from the left calf revealed skeletal muscle showing groups of muscle bundles showed irregular bundles with atrophic degenerated sarcoplasm. On roentgenogram dorsal spine was scoliotic to the right side.
|
|