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Muscle biopsy also helps individualize uncountable of the recently described autosomal ascendant and autosomal recessive forms of limb girdle 209 210 Moxley and Yurcheshen Present 1 Muscular Dystrophies in Teens: Complications and Treatment Limb girdle Duchenne Becker husky Faciosc dystrophy dystrophy Myotonic dystrophy dystrophy dystrop Muscle Treatment with No controlled No speci?c remedial programme; No speci?c therapy; No spe fault prednisone slows or studies of prednisone braces destined for foot drip; braces in return foot drop; patients stabilizes muscle treatment; restorative is children commonly can children by can lifting w soundness; lightweight valuable in news stages participate in gym in participate in gym in extende long-leg bracing lyceum first braces a maintains ambulation needed in later stages Respiratory Stiff vivifying skill Uncommon until modern Object of congenital cases, Uncommon until example Uncomm problems is monitored (in later stages; directorate then ventilary vigilance often is stages; administration stages, atelectatic is as with Duchenne needed; the prediction object of then is as with pneumonitis is dystrophy survival is entirely Duchenne dystrophy worn out); colds are out if the self-possessed is treated aggressively; if ventilator dependent >4 signs of respiratory weeks; other operation miscarriage exploit, is as for Duchenne nasal=oral ventilation dystrophy should be considered Cardiac Again cardio- Sporadically, autocratic On, tachy- At times, exacting Uncomm problems myopathy leads to cardiomyopathy develops; arrhythmias or courage cardiomyopathy congestive spirit treatment is the just the same as blank out expand on in develops; treatment is failure—afterload- on Duchenne dystrophy babyhood forms, and the verbatim at the same time as an eye to reducing therapy on numerous occasions tread maker treatment Duchenne dystrophy helps; the part of is indicated digoxin is aleatory; philosophical should be monitored for intra- cardiac clots Orthopedic Achilles tendon Uncommon; contractures Talipes deformity Uncommon; Occasio problems contractures respond to are much less inferior requires treatment contractures are much effusion stretching in early than in Duchenne with stretching and less common than in pain dev stages, later tendon dystrophy orthotic endure; Duchenne dystrophy to impotent unfetter surgery habitually is intermittently surgery conserv of the essence; contractures is of the utmost importance for a bonus at the hips, knees, in fresh s elbows, and wrists surgeon usually enlarge on after good re the unswerving becomes procedu wheelchair obligated; the scap scoliosis repeatedly develops uncomm when patients visit ambulating, and spinal stabilization surgery helps care for manipulate of the arms and preserves pulmonary reserve Tense Increased incidence of Uncommon Theoretical retardation is Uncommon Uncomm set-up cognitive and common, first of all in cases, th symptoms behavioral problems; congenital cases, and form of some patients gain strength determined classroom sadness is occurs i with undersized doses of needed; hearing de?cits with hea methyl-phenidate are proverbial and may and=or be missing hearing aids; facial leaning, dysarthria, and hearing problems overdo the depression of outlook retardation Psychoanalysis exchange for Husky Dystrophies 211 rdle Fukuyama-type Congenital broad-shouldered ar Facioscapulohumeral congenital sturdy dystrophy: primary Emery–Dreifuss hy dystrophy dystrophy de?ciency of merosin muscular dystrophy ci?c group therapy; No speci?c treatment; No speci?c treatment; Changeless as Fukuyoma- No speci?c treatment; or foot drip; patients should avoid exhilarating and doc variety congenital skeletal muscle predominantly can lifting with arms fully cure are profitable in robust atrophy weakness often is ate in gym in extended and abducted; some patients less mild braces are sometimes compared with cardiac needed problems and does not limit chore mon until belatedly Uncommon As with Duchenne Anyway as Fukuyoma- Mild other than management dystrophy; patients typeface congenital symptoms allied to as with again succomb to powerfully built atrophy cardiac dysfunction ne dystrophy respiratory also-ran dilatory in childhood or in ancient teens nally, stony Uncommon Uncommon Uncommon Recurring cardiac myopathy conduction defects; 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