Myotonic Dystrophy Type 1 Complicated With Peripheral Arterial Occlusive Disease: A Case Report.
10.5535/arm.2015.39.4.645
- Author:
Dong Hun LEE
1
;
Dong Sik PARK
;
Dong Hyun KIM
;
Sang Hun LEE
;
Hee Mun CHO
Author Information
1. Department of Rehabilitation Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. skyler02@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Myotonic dystrophy;
Peripheral arterial occlusive disease
- MeSH:
Adult;
Angiography;
Ankle Brachial Index;
Arterial Occlusive Diseases*;
Arteries;
Brain;
Diagnosis;
Endocrine System;
Female;
Humans;
Lower Extremity;
Mass Screening;
Middle Aged;
Muscle, Smooth;
Muscular Dystrophies;
Myotonic Dystrophy*;
Risk Factors;
Ultrasonography
- From:Annals of Rehabilitation Medicine
2015;39(4):645-648
- CountryRepublic of Korea
- Language:English
-
Abstract:
Myotonic dystrophy (MD) is the most common adult muscular dystrophy characterized by multi-systemic clinical manifestations involving the brain, smooth muscle, cardiovascular and endocrine systems. However, peripheral arterial occlusive disease (PAOD) is an uncommon presentation of MD type 1 (DM1), which has not been reported in recent literature. A 53-year-old female, previously confirmed as DM1, presented with vague claudication of both lower limbs. The diagnosis of PAOD based on results of ankle-brachial index, ultrasonography, and abdominal computed tomography angiography studies was followed by aortobifemoral artery bypass surgery. Although the arterial patency was restored after the operation, she did not recover from post-operative respiratory complications. Screening of PAOD is necessary for DM1 with general risk factors of occlusive arteriopathy. However, surgery should be reserved for the most severe cases.
