跳到正文
原文
NEJM· @NEJM · X·· 2 小时前AI 评分12
AI 导读

一名4岁男童因疲劳和频繁跌倒就诊,跌倒后无法用腿站起、需用手撑地,转氨酶升高,确诊为杜氏肌营养不良(DMD)。确诊时即启动地夫可特糖皮质激素治疗,以延缓运动和心肺功能恶化、减轻脊柱侧弯进展。视频展示了治疗前后从地面起身计时测试的对比。

正文

A 4-year-old boy presented with fatigue and frequent falls. After falling, he could not stand up using his legs and would instead push himself up with his hands. The aminotransferase levels were elevated. A diagnosis of Duchenne muscular dystrophy (DMD) was made.

Glucocorticoid therapy with deflazacort was initiated at the time of diagnosis to slow the progression of motor and cardiopulmonary dysfunction and mitigate the development of scoliosis. The videos show testing of timed rise from the floor before and after glucocorticoid therapy.

Read the full case details and learn more about DMD in “A 4-Year-Old Boy with Fatigue, Imbalance, and Frequent Falls,” a Case Record of the Massachusetts General Hospital: https://nej.md/4h7h0SP

来源:NEJM · x.com