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Myotonic Muscular DystrophyFrom Clinical Description to Molecular Genetics
Allen D. Roses, MD
Arch Intern Med. 1985;145(8):1487-1492.
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Myotonic muscular dystrophy (DM) is the most prevalent of the human muscular dystrophies. The disease is inherited as an autosomal dominant trait and is characterized by variable penetrance and variable expressivity. Many different organ systems may be clinically affected, so that patients may present with symptoms and signs other than involvement of the neuromuscular system. Many medical specialists have been interested in DM, particularly those interested in glucose and insulin metabolism, cataract formation, cardiac manifestations, congenital malformations, and muscular disease.1,2
The first protocol for the study of DM on the Rankin Clinical Research Unit (CRU) was initiated in 1965 by Harold Lebowitz, MD, and his colleagues in the Division of Endocrinology. Since that time there has been an active protocol studying DM every year through the present. In 1970, Stanley Appel, MD, and I initiated experiments based on the hypothesis that DM is a disease involving the cellular membrane
. . . [Full Text PDF of this Article]
Author Affiliations
From the Division of Neurology, Department of Medicine, Duke University Medical Center, Durham, NC.
Footnotes
Accepted for publication Oct 25,1984.
Reprint requests to Division of Neurology, Duke University Medical Center, PO Box 2900, Durham, NC 27710 (Dr Roses).
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