An 18-year-old man presents with difficulty using his hands. For the last four years he has been working as a decorator but is finding this increasingly difficult. The only family history of note is that his father has very poor eyesight. On examination you find facial and hand muscle weakness. He has difficulty opening and closing his fists. You suspect myotonic dystrophy. Which of the following is NOT a recognised feature of myotonic dystrophy? A. It is an autosomal dominant condition that shows anticipation B. Patients may develop nodular thyroid enlargement C. Diagnosis is made by DNA analysis D. Grip myotonia is invariably present E. Weakness can affect proximal and distal muscles
Posted on: Fri, 15 Aug 2014 17:57:05 +0000
Trending Topics
Recently Viewed Topics
© 2015