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    Orthopaedic Disorders in Myotonic Dystrophy Type 1: descriptive clinical study of 21 patients.
    Schilling L, Forst R, Forst J, Fujak A.
    BMC Musculoskelet Disord. 2013 Dec 1;14(1):338.
     
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    Myotonic dystrophy

    Genetic disorder that impairs muscle function
    Medical condition

    Myotonic dystrophy (DM) is a type of muscular dystrophy, a group of genetic disorders that cause progressive muscle loss and weakness.[1] In DM, muscles are often unable to relax after contraction.[1] Other manifestations may include cataracts, intellectual disability and heart conduction problems.[1][2] In men, there may be early balding and an inability to father children.[1] While myotonic dystrophy can occur at any age, onset is typically in the 20s and 30s.[1]

    Myotonic dystrophy is caused by a genetic mutation in one of two genes. Mutation of the DMPK gene causes myotonic dystrophy type 1 (DM1). Mutation of CNBP gene causes type 2 (DM2).[1] DM is typically inherited, following an autosomal dominant inheritance pattern,[1] and it generally worsens with each generation.[1] A type of DM1 may be apparent at birth.[1] DM2 is generally milder.[1] Diagnosis is confirmed by genetic testing.[2]

    There is no cure.[3] Treatments may include braces or wheelchairs, pacemakers and non-invasive positive pressure ventilation.[2] The medications mexiletine or carbamazepine can help relax muscles.[2] Pain, if it occurs, may be treated with tricyclic antidepressants and nonsteroidal anti-inflammatory drugs (NSAIDs).[2]

    Myotonic dystrophy affects about 1 in 2,100 people,[4] a number that was long estimated to be much lower (often cited as 1 in 8,000), reflecting that not all patients have immediate symptoms and, once they do have symptoms, the long time it typically takes to get to the right diagnosis.[1] It is the most common form of muscular dystrophy that begins in adulthood.[1] It was first described in 1909, with the underlying cause of type 1 determined in 1992.[2]

    1. ^ a b c d e f g h i j k l m n o p q r s t u v "myotonic dystrophy". GHR. 11 October 2016. Archived from the original on 18 October 2016. Retrieved 16 October 2016.
    2. ^ a b c d e f g h i j Meola, G; Cardani, R (April 2015). "Myotonic dystrophies: An update on clinical aspects, genetic, pathology, and molecular pathomechanisms". Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease. 1852 (4): 594–606. doi:10.1016/j.bbadis.2014.05.019. PMID 24882752.
    3. ^ Klein, AF; Dastidar, S; Furling, D; Chuah, MK (2015). "Therapeutic Approaches for Dominant Muscle Diseases: Highlight on Myotonic Dystrophy". Current Gene Therapy. 15 (4): 329–37. doi:10.2174/1566523215666150630120537. PMID 26122101.
    4. ^ Johnson, N. (2021). "Population-Based Prevalence of Myotonic Dystrophy Type 1 Using Genetic Analysis of Statewide Blood Screening Program". Neurology. 96 (7): e1045–e1053. doi:10.1212/WNL.0000000000011425. PMC 8055332. PMID 33472919.
     
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    Scripps Florida Scientists Uncover Most Detailed Picture Yet of Muscular Dystrophy Defect then Design Targeted New Drug Candidates
     
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    Ankle Strength Impairments in Myotonic Dystrophy Type 1: A Five-Year Follow-up.
    Hébert LJ et al
    J Neuromuscul Dis. 2018;5(3):321-330. doi: 10.3233/JND-180311.
     
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