Erdenen Fusun, Toros Ahmet Burak, Uzum Ayse Kubat, Sacak Sirin
Istanbul Education and Research Hospital, Department of Internal Medicine, Istanbul, Turkey.
J Med Case Rep. 2011 Aug 12;5:371. doi: 10.1186/1752-1947-5-371.
Myotonic dystrophy (MD) or Steinert's syndrome is a rare cause of chronic diarrhea and anal incontinence. In the presence of chronic diarrhea and fecal incontinence with muscle weakness, neuromuscular disorders such as myotonic dystrophy should be considered in the differential diagnosis.
We present the case of a 45-year-old Turkish man with Steinert's syndrome, who was not diagnosed until the age of 45.
In clinical practice, the persistence of diarrhea and fecal incontinence with muscle weakness should suggest that the physician perform an anal manometric study and electromyography. Neuromuscular disorders such as myotonic dystrophy should be considered in the differential diagnosis.
强直性肌营养不良（MD）或斯坦纳特综合征是慢性腹泻和肛门失禁的罕见病因。出现慢性腹泻和粪便失禁并伴有肌肉无力时，鉴别诊断应考虑强直性肌营养不良等神经肌肉疾病。
我们报告一例45岁患有斯坦纳特综合征的土耳其男性病例，该患者直到45岁才被诊断出来。
在临床实践中，腹泻和粪便失禁伴有肌肉无力持续存在时，医生应进行肛门测压研究和肌电图检查。鉴别诊断应考虑强直性肌营养不良等神经肌肉疾病。
