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[点G大学医院神经科隐性肢带型肌营养不良的临床和实验室特征]

[Clinical and laboratory features of recessive Limb Girdle Muscular dystrophies in the Department Neurology of University Hospital of Point G].

作者信息

Coulibaly Th, Ouabo A J, Landouré G, Bah H O, Cissé L, Diallo S H, Diallo S, Samassékou O, Maïga A B, Kané F, Yalcouyé A, Taméga A, Bocoum A, Dembélé M E, Témé A, Sidibé C O, Cissé A K, Traoré O, Traoré M, Guinto C O

机构信息

Service de Neurologie, Centre Hospitalier Universitaire du Point G, Bamako, Mali.

Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali.

出版信息

Health Sci Dis. 2021 Nov;22(11):24-28.

Abstract

INTRODUCTION

Limb-Girdle Muscular dystrophies (LGMD) is a group of inherited diseases characterized by predominantly proximal and limb muscle weakness. These are rare diseases that have not been well studied in sub-saharan Africa. The aim of our was the clinical and paraclinical characterization of patients with recessive LGMD at the Department of Neurology of the Teaching Hospital of Point G.

PATIENTS AND METHODS

We conducted a longitudinal prospective study which took place from March 2014 to May 2019. Patients with recessive LGMD phenotype were enrolled. Sociodemographic, clinical and laboratory data were analyzed.

RESULTS

We enrolled 46 families (67 patients), i.e. a frequency of 16.7% among the neurodegenerative diseases seen in the service. Among them, 45.6% came from the Sikasso region. Autosomal recessive inheritance pattern was suspected in 67.4% of the families. Symptoms appeared mainly in the first decade of life. Proximal muscle weakness was found in almost all patients. Cardiac examination showed dilated cardiomyopathy in 4.5% of cases.

CONCLUSION

Limb-Girdle muscular dystrophy is a disabling disease that is found in Mali. Further study of these cases could elucidate the underlying genetic defects.

摘要

引言

肢带型肌营养不良症(LGMD)是一组遗传性疾病,其特征主要为近端和肢体肌肉无力。这些是罕见疾病,在撒哈拉以南非洲地区尚未得到充分研究。我们的目的是对G点教学医院神经科隐性LGMD患者进行临床和辅助临床特征分析。

患者与方法

我们于2014年3月至2019年5月进行了一项纵向前瞻性研究。纳入隐性LGMD表型患者。对社会人口统计学、临床和实验室数据进行分析。

结果

我们纳入了46个家庭(67名患者),即在该科室所见神经退行性疾病中占16.7%的比例。其中,45.6%来自锡卡索地区。67.4%的家庭疑似为常染色体隐性遗传模式。症状主要出现在生命的第一个十年。几乎所有患者均发现近端肌肉无力。心脏检查显示4.5%的病例患有扩张型心肌病。

结论

肢带型肌营养不良症是马里发现的一种致残性疾病。对这些病例的进一步研究可能会阐明潜在的基因缺陷。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e08a/8612446/f529a960440d/nihms-1754578-f0001.jpg

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