Identification of patients with orfan pathology as a result of routine creatine phosphokinase level analysis. The experience of the Krasnoyarsk Territory

Background. Duchenne muscular dystrophy (DMD) is a severe genetic disease that usually affects boys and it is characterized by a gradual loss of muscle strength up to respiratory arrest from the childhood. Currently, there are several types of successful pathogenic therapies for the disease, but it...

Full description

Saved in:
Bibliographic Details
Main Author: E. V. Shishkina
Format: Article
Language:Russian
Published: ABV-press 2024-04-01
Series:Русский журнал детской неврологии
Subjects:
Online Access:https://rjdn.abvpress.ru/jour/article/view/456
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849303291082571776
author E. V. Shishkina
author_facet E. V. Shishkina
author_sort E. V. Shishkina
collection DOAJ
description Background. Duchenne muscular dystrophy (DMD) is a severe genetic disease that usually affects boys and it is characterized by a gradual loss of muscle strength up to respiratory arrest from the childhood. Currently, there are several types of successful pathogenic therapies for the disease, but it is most effective before the age of 5 years. Thereby, the problem of verifying the diagnosis before the treatment fails to work (when treatment can still make the patient’s life easier) becomes urgent. In the Russian Federation only about 1,500 boys are diagnosed with DMD, when the calculated value is 3,500.Aim. To identify all cases of DMD among patients in the neurological departments of hospitals in the Krasnoyarsk region by measuring the level of creatine phosphokinase.Materials and methods. This study was estimated by neurologists in the Krasnoyarsk Interdistrict Children’s Clinical Hospital No. 1 and the Krasnoyarsk Regional Clinical Center for Maternal and Child Health. When elevated levels of creatine phosphokinase were detected in children, genetic analysis was performed to verify DMD.Results and conclusion. Innovate experience of Krasnoyarsk region made it possible to identify all patients with DMD in the neurological departments of the Krasnoyarsk Interdistrict Children’s Clinical Hospital No. 1 and the Krasnoyarsk Regional Clinical Center for Maternal and Child Health using cheap creatine phosphokinase level analysis. The number of patients diagnosed with DMD is now ~4 cases per year. As a result, there is a correspondence between the number of real patients and the epidemiological estimate quantity for the Krasnoyarsk region.
format Article
id doaj-art-26ef621cd62645bf97f45a6eea516e29
institution Kabale University
issn 2073-8803
2412-9178
language Russian
publishDate 2024-04-01
publisher ABV-press
record_format Article
series Русский журнал детской неврологии
spelling doaj-art-26ef621cd62645bf97f45a6eea516e292025-08-20T04:00:01ZrusABV-pressРусский журнал детской неврологии2073-88032412-91782024-04-0119110.17650/2073-8803-2024-19-1-10-17309Identification of patients with orfan pathology as a result of routine creatine phosphokinase level analysis. The experience of the Krasnoyarsk TerritoryE. V. Shishkina0Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky, Ministry of Health of RussiaBackground. Duchenne muscular dystrophy (DMD) is a severe genetic disease that usually affects boys and it is characterized by a gradual loss of muscle strength up to respiratory arrest from the childhood. Currently, there are several types of successful pathogenic therapies for the disease, but it is most effective before the age of 5 years. Thereby, the problem of verifying the diagnosis before the treatment fails to work (when treatment can still make the patient’s life easier) becomes urgent. In the Russian Federation only about 1,500 boys are diagnosed with DMD, when the calculated value is 3,500.Aim. To identify all cases of DMD among patients in the neurological departments of hospitals in the Krasnoyarsk region by measuring the level of creatine phosphokinase.Materials and methods. This study was estimated by neurologists in the Krasnoyarsk Interdistrict Children’s Clinical Hospital No. 1 and the Krasnoyarsk Regional Clinical Center for Maternal and Child Health. When elevated levels of creatine phosphokinase were detected in children, genetic analysis was performed to verify DMD.Results and conclusion. Innovate experience of Krasnoyarsk region made it possible to identify all patients with DMD in the neurological departments of the Krasnoyarsk Interdistrict Children’s Clinical Hospital No. 1 and the Krasnoyarsk Regional Clinical Center for Maternal and Child Health using cheap creatine phosphokinase level analysis. The number of patients diagnosed with DMD is now ~4 cases per year. As a result, there is a correspondence between the number of real patients and the epidemiological estimate quantity for the Krasnoyarsk region.https://rjdn.abvpress.ru/jour/article/view/456duchenne myodystrophycreatine phosphokinaseearly diagnosis
spellingShingle E. V. Shishkina
Identification of patients with orfan pathology as a result of routine creatine phosphokinase level analysis. The experience of the Krasnoyarsk Territory
Русский журнал детской неврологии
duchenne myodystrophy
creatine phosphokinase
early diagnosis
title Identification of patients with orfan pathology as a result of routine creatine phosphokinase level analysis. The experience of the Krasnoyarsk Territory
title_full Identification of patients with orfan pathology as a result of routine creatine phosphokinase level analysis. The experience of the Krasnoyarsk Territory
title_fullStr Identification of patients with orfan pathology as a result of routine creatine phosphokinase level analysis. The experience of the Krasnoyarsk Territory
title_full_unstemmed Identification of patients with orfan pathology as a result of routine creatine phosphokinase level analysis. The experience of the Krasnoyarsk Territory
title_short Identification of patients with orfan pathology as a result of routine creatine phosphokinase level analysis. The experience of the Krasnoyarsk Territory
title_sort identification of patients with orfan pathology as a result of routine creatine phosphokinase level analysis the experience of the krasnoyarsk territory
topic duchenne myodystrophy
creatine phosphokinase
early diagnosis
url https://rjdn.abvpress.ru/jour/article/view/456
work_keys_str_mv AT evshishkina identificationofpatientswithorfanpathologyasaresultofroutinecreatinephosphokinaselevelanalysistheexperienceofthekrasnoyarskterritory