Laing N G, Mears M E, Thomas H E, Chandler D C, Layton M G, Goldblatt J, Kakulas B A
Department of Neuropathology, Royal Perth Hospital, Perth, WA.
Med J Aust. 1990 Mar 5;152(5):270-1. doi: 10.5694/j.1326-5377.1990.tb120926.x.
A 31-year-old man previously investigated for a neuromuscular disorder was diagnosed as having either limb-girdle dystrophy, spinal muscular atrophy, or Becker muscular dystrophy. Extensive clinical and special neurological investigations failed to clarify this differential diagnosis. However, recent DNA studies have shown a deletion of the dystrophin gene, thereby providing an unequivocal diagnosis of Becker muscular dystrophy. The application of molecular genetic techniques in the diagnosis of inherited neuromuscular disorders is discussed.
一名31岁男性曾因神经肌肉疾病接受检查,被诊断为肢带型肌营养不良、脊髓性肌萎缩症或贝克型肌营养不良症。广泛的临床和特殊神经学检查未能明确这一鉴别诊断。然而,最近的DNA研究显示肌营养不良蛋白基因存在缺失,从而明确诊断为贝克型肌营养不良症。本文讨论了分子遗传学技术在遗传性神经肌肉疾病诊断中的应用。