Reardon W, Hughes H E, Green S H, Lloyd Woolley V, Harper P S
Institute of Medical Genetics, University Hospital of Wales, Heath Park, Cardiff.
Arch Dis Child. 1992 Apr;67(4):527-8. doi: 10.1136/adc.67.4.527.
Myopathic involvement of the perianal musculature is one of the less well recognised features of myotonic dystrophy in children and may present with physical signs suggestive of sexual abuse. Details of six children with myotonic dystrophy are presented to emphasise the importance of considering an underlying myopathic condition in the differential diagnosis of anal laxity.
肛门周围肌肉的肌病性受累是儿童型强直性肌营养不良较少被认识到的特征之一,可能表现出提示性虐待的体征。本文介绍了6例强直性肌营养不良患儿的情况,以强调在肛门松弛鉴别诊断中考虑潜在肌病的重要性。