What happens in this disease?
Duchenne muscular dystrophy is an inherited disease that gradually weakens the muscles. A protein called dystrophin, which protects muscle cells, is missing. It affects both the skeletal muscles and the heart muscle. It occurs almost only in boys.
Which symptoms can occur?
Muscle weakness begins in early childhood and increases quickly. The disease is progressive and shortens life. But thanks to advances in care, life expectancy has increased.
- Delay in skills such as sitting and walking (common)
- Frequent falls; difficulty climbing stairs and getting up from the floor (common)
- Loss of the ability to walk towards adolescence (common)
- Weakening of the heart muscle, called cardiomyopathy (common; often begins in adolescence)
- Weakening of the breathing muscles (as the disease progresses)
- Difficulties with learning, attention or behavior (sometimes)
- Muscle pain and stiffness in the joints (sometimes)
How is it diagnosed?
The diagnosis is considered when muscle weakness and delayed development are noticed. Blood tests and a genetic test are done. The genetic test shows the change in the DMD gene. Sometimes a muscle biopsy (taking a small piece of muscle) or an MRI of the muscles is also used.
Treatment and care
Steroid-type medicines help to preserve muscle strength and movement. There are also targeted treatments for certain specific gene changes. Physiotherapy, heart and breathing check-ups, and nutrition and school support are part of care. The doctor who follows the disease decides which treatment is suitable.
For the family: inheritance and genetic counselling
The disease is passed on through the X chromosome. The change often comes from a mother who is a carrier; sometimes it arises for the first time in the child. For each son of a carrier mother, the chance is 50%. Women who are carriers also have their heart checked; genetic counselling is recommended for families.