Nozoe Karen T, Akamine Ricardo T, Mazzotti Diego R, Polesel Daniel N, Grossklauss Luís F, Tufik Sergio, Andersen Monica L, Moreira Gustavo A
Department of Psychobiology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Department of Neurology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Sleep Sci. 2016 Jul-Sep;9(3):129-133. doi: 10.1016/j.slsci.2016.07.004. Epub 2016 Aug 18.
We discussed two cases of symptomatic female carriers to Duchenne Muscular Dystrophy. The first case is a 20 year-old girl with classical phenotypic manifestation of the disease, similar to the condition in boys. The case 2 is a 62 year-old woman with progressive muscular weakness. The disease is much less common in woman than men so both cases described here are considered rare forms of the disease, with several clinical implications. In both cases, a progressive muscle weakness, impairment in walking and sleeping was observed, in addition to obstructive sleep apnea syndrome and alveolar hypoventilation, that required noninvasive ventilatory support.
我们讨论了两例杜氏肌营养不良症的有症状女性携带者。第一例是一名20岁女孩,具有该疾病的典型表型表现,与男孩的病情相似。第二例是一名62岁女性,患有进行性肌肉无力。该疾病在女性中比男性少见得多,因此这里描述的两例均被视为该疾病的罕见形式,具有若干临床意义。在这两例中,均观察到进行性肌肉无力、行走和睡眠障碍,此外还有阻塞性睡眠呼吸暂停综合征和肺泡通气不足,这需要无创通气支持。