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Case Reports Comparative Study
[Musculoskeletal pain as the most prominent feature in myotonic dystrophy type 2].
- A George, C Schneider-Gold, K Reiners, and C Sommer.
- Neurologische Klinik und Poliklinik, Universitätsklinikum Würzburg. a.george@ion.ucl.ac.uk
- Schmerz. 2006 Sep 1; 20 (5): 388, 390-4, 396-7.
BackgroundMyotonic dystrophy type 2/proximal myotonic myopathy (DM 2/PROMM) is an autosomal dominant multisystem disorder characterized by proximal muscle weakness, myotonia and musculoskeletal pain.Patients And MethodsWe describe five patients with DM 2/PROMM in whom musculoskeletal pain was the most prominent feature. We used the McGill Pain Questionnaire for standardized pain assessment.ResultsThe patients reported multiple types of musculoskeletal pain including tenderness, cold-enhanced and exercise-related musculoskeletal pain. Exercise-induced or -enhanced musculoskeletal pain was indicated as the most disabling feature.ConclusionsMyotonic dystrophy type 2 should be considered as one of the differential diagnoses in patients with musculoskeletal pain. Family history and laboratory tests provide critical diagnostic clues.
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