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Investigations :

                  •       Creatine kinase (CK), also known as creatine phosphokinase (CPK) →

                      markedly elevated

                  •       Electromyography  ( EMG ) → myopathic pattern

                  •       Muscle  biopsy  is  diagnostic  →  muscle  fiber  degeneration  with

                      replacement with fat and fibrosis.


                  •       Prenatal diagnosis → amniocentesis or chorionic villous sampling  →

                      genetic diagnosis

                  •       Detection  of  female  carrier  →  high  serum  creatine  phosphokinase

                      (CPK).



                  Treatment :

                  No specific treatment.

                  Adequate nutrition, treatment of complications.

                  Treatment under trials: gene therapy, myoblast transfer.



                  Becker muscle dystrophy:


                  X-  linked  recessive  disease  of  late  onset  during  late  childhood  ,  slowly

                  progressive course  and a  longer time  of survival  → due  to  dysfunctioning

                  dystrophin  or  is  insufficient  production  of  dystrophin,  a  protein  that  helps

                  keep muscle cells intact
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