FAQ - Muscular Dystrophy, Duchenne
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How can a person with muscular dystrophy of duchenne have sex?


how can the pants be removed and such... etc
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What do you guys know about duchenne muscular dystrophy?


I am reaserching it for school.
Do you know anyone that lives with it?
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GENERAL INFORMATION:

What is it?

Duchenne (du-shan) or Pseudohypertrophic (su-do-hi-per-trow-fik) and Becker's Muscular Dystrophy (dih-strow-fee) are two similar illnesses. They are a type of muscular dystrophy which are genetic diseases that effect muscles all over your body. A genetic disease is one that you are born with and that you may inherit from your family. There are many types of muscular dystrophy.


Duchenne and Becker's muscular dystrophy are most common in children. Boys usually get Duchenne (DMD) and Becker's muscular dystrophy (BMD) when they are between 2 and 15 years old. There is no cure for DMD and BMD but the symptoms can be treated. With Becker's Muscular Dystrophy, it is possible to live a normal life. But your life span will be shortened if you have Duchenne's Muscular Dystrophy.

Causes: All the muscular dystrophies are caused by problems with the information in genes and chromosomes. A gene is a little piece of information that tells your body what to do or what to make. A chromosome is like a package that holds all the genes.

Girls have two X-chromosomes and boys have an X and an Y. DMD and BMD are more common in boys because of their single X-chromosome. If the single X-chromosome information is damaged there is a greater chance for boys to develop the disease. Other types of dystrophies occur in both sexes.


Scientists think that the dystrophin (dih-strow-fin) gene on the X-chromosome is damaged in DMD and BMD. It is helps the body make good strong muscle cells. With a bad dystrophin gene, the instructions to make dystrophin protein are wrong and cause the body to make bad repairs. Muscle tissues weaken. In time, the body stops making muscle cells and replaces them with fat and connective tissue. Connective tissues are cells that make up parts of the body like skin, tendons, ligaments, and other organs.


DMD and BMD can now be diagnosed before a baby is born by amniocentesis (am-nee-o-sin-t-sis). An amniocentesis is when caregivers take a sample of the fluid that is around your baby. This fluid is called amniotic (am-nee-ah-tik) fluid and is sent to the lab for tests. To get the fluid, your caregiver puts a needle through your skin and into your uterus (womb). Your caregiver will help you decide if you need this test. Ask for the CareNotes™ handout about amniocentesis for more information.

Signs and Symptoms: The symptoms of DMD and BMD disease are similar, but DMD is worse. Signs of problems usually begin between 2 and 15 years of age. However, you can be much older before you know you have BMD.

Following are the main symptoms of DMD and BMD that you may have early in the disease.


Large calves and other muscles.


Mental retardation (ree-tar-da-shun) can sometimes occur. Mental retardation is slowness or inability to learn information and skills. Many things can cause it. In DMD and BMD, it is caused because of the bad genes.


Problems getting up from a sitting or lying position.


Repeated falling.


"Waddling" like a duck when walking.


Following are other symptoms you may have as DMD and BMD get worse with time.


Breathing is harder because of weak muscles


Contractures (kun-trak-shers) which are a shortened muscles that may make it hard to walk or to use your hands.


Heart problems.


Infections might become a problem, but can be treated with antibiotics (an-ti-bi-ah-tiks).


Scoliosis (Sko-lee-o-siss) is when your spine bends in the wrong places. It happens because your muscles are not strong enough to hold the bones in place.


Trouble swallowing.

Care: There is no cure for DMD or BMD. The diseases cannot be stopped or turned around. But, caregivers will work with you to help you keep a good quality of life for as long as possible. At first, you will probably be seen in a clinic or caregiver's office. But, at times, you might need to go into the hospital for tests and treatment. You may need to see your caregiver 1 to 4 times a month. Ask your caregiver for information about DMD or BMD to help you understand the different problems and treatments.

Tests: Some of the following tests are used to find out if you have DMD and BMD. Others are used to help caregivers plan treatment of your symptoms.


Barium swallow.


Blood tests to look for high levels of Creatine Kinase (kree-a-tine ki-naz) which is an enzyme or kind of building block. It leaks into the blood when muscles are damaged with DMD and BMD.


CAT scan.


EKG.


EMG. This is a test to see if groups of muscle are weak or show a pattern of weakness.


MRI scan.


X-rays.


Treatment Options: Treatment involves controlling symptoms. So, your care may change as the DMD or BDM gets worse with time.


Exercise is very important. If your muscles are not used often, the disease will get worse quickly. Good nutrition, rest, and social activity are important to help you lead a full life. Caregivers will help you plan a program that meets your specific needs.


Medicines are used to treat some DMD and BMD symptoms like infections or muscle strength. Some of the medicines used to treat DMD and BMD have side effects. Caregivers will tell you about these possible side effects.


Swallowing may become hard so a "peg tube" may be put into your stomach. Liquid food is put into the tube so you get food but avoid choking.


Surgery may be needed to help with contractures. Cutting stiff tissues (muscles, ligaments, and tendons) helps the joints move more easily. You may need surgery to put pins in a joint. This makes the joint unable to bend so that you can continue using it.

Coping: DMD and BMD are life-changing diseases for you and your family. Accepting that you have one of them is hard. You and those close to you may feel angry, depressed, or frightened. These are normal feelings. Talk to your caregivers, family, or friends about your feelings. You may also want to join a Muscular Dystrophy support group. This is a group of people who have an illness like yours. Call or write one of the following organizations for more information.

Muscular Dystropy Association  (+ info)

Why can't females get Duchenne Muscular Dystrophy?


I don't understand why females can't get Duchenne Muscular Dystrophy. What if a female receives two DMD-positive X chromosomes, one from her father and one from her mother. Many sites I read just say that females don't get DMD because they usually receive a healthy X chromosome from a parent. However, what if they don't? Does this make it possible for them to have this disorder?
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Well, it could be possible but the only way would be for a girl to be born to a father that also had the damaged x chromosome for Duchenne MD. Boys with Duchenne MD don't live long enough to become fathers as they die quite young.  (+ info)

Can you give me some info on Duchenne Muscular Dystrophy?


Specifically, I need information on the genetic cause of this disorder. Is it a chromosomal mutation? If so, which chromosome (#) and where on the chromosome? Or is it a point mutation, and if so, is it substitution or frameshift and which amino acids are changed?

Thank you!
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I recommend the Parent Project Muscular Dystrophy site if you'd like to learn more. The information is up-to-date and credible, information to be trusted.  (+ info)

What is the current status of research on this disorder called Duchenne muscular dystrophy?


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What is the prognosis for a person with Duchenne Muscular Dystrophy?


It depends on what their course of medical management is and the decision to trach/ventilator use.

I have had kids die as young as 10 and live well into their 30s.  (+ info)

Who is at greatest risk of inheriting Duchenne muscular dystrophy?


Duchenne muscular dystrophy primarily manifests in boys because the DMD gene is found on the X chromosome. It affects all races and cultures. Although many cases are genetically inherited, approximately 35% are the result of a spontaneous genetic mutation. Duchenne muscular dystrophy affects approximately 1 in 3,500 boys and, each year, approximately 20,000 children are born with DMD worldwide. To date, it has no cure.  (+ info)

What are the histologic changes that are found in the muscles involved in Duchenne muscular dystrophy?


Hope this is what you were looking for:
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Myotonic dystrophy (MyD) and
Duchenne muscular dystrophy (DMD). A high prevalence of malocclusions was found among the patients affected by these diseases. The development of the malocclusions in MyD patients seems to be strongly related to the vertical aberration of their craniofacial growth due to the involvement of the masticatory muscles in association with the possibly less affected suprahyoid musculature. Thus, a new situation is established around the teeth transversely. The lowered tongue is not in a position to counterbalance the forces developed during the lowering of the mandible by the stretched facial musculature. This may affect the teeth transversely, decreasing the width of the palate and causing posterior crossbite. The lowered position of the mandible, in combination with the decreased biting forces, may permit an overeruption of the posterior teeth, with increased palatal vault height and development of anterior open bite. The development of the malocclusions in DMD patients also seems to be strongly related to the involvement of the orofacial muscles by the disease. However, the posterior crossbite is not developed owing to the narrow maxillary arch, as is the case in MyD patients. On the contrary, the posterior crossbite in DMD is due to the transversal expansion of the mandibular arch, possibly because of the decreased tonus of the masseter muscle near the molars, in combination with the enlarged hypotonic tongue and the predominance of the less affected orbicularis oris muscle.  (+ info)

is it okay to masturbate if i have mild heart failure and duchenne muscular dystrophy?


when i reach orgasm i feel like my heart is gonna jump out of my chest and i get a bit scared
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Comparing Tay-Sachs disease and Duchenne's muscular dystrophy?


When comparing Tay-Sachs disease and Duchenne's muscular dystrophy, which of the following do both disorders have in common?

A. They both involve malfunction of the nervous system
B. They both involve mutations in which fat replaces normal tissue
C. They both lead to death in the first few years of life
D. They both are disorders that are equally distributed in the general population.
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I believe that it would be A, because C is not right, adults with Tay, can live with it. Only Tay involves fat replacing tissue, so B is out. Tay Sachs has a prevalence of about 1 in 300 and DMD 1-3000 in males, so they don't add up.  (+ info)

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