Positive experience in treating patients with Duchenne muscular dystrophy caused by a nonsense mutation: family clinical case

Duchenne muscular dystrophy is a severe genetic disease caused by mutations in the dystrophin gene (DMD), which lead to a significant decrease or complete absence of the protein of the same name in muscle fibers. The disease manifests itself in boys from the age of 2–5 years in the form of progressi...

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Main Authors: L. S. Kraeva, E. V. Fadeeva
Format: Article
Language:Russian
Published: ABV-press 2024-09-01
Series:Нервно-мышечные болезни
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Online Access:https://nmb.abvpress.ru/jour/article/view/624
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author L. S. Kraeva
E. V. Fadeeva
author_facet L. S. Kraeva
E. V. Fadeeva
author_sort L. S. Kraeva
collection DOAJ
description Duchenne muscular dystrophy is a severe genetic disease caused by mutations in the dystrophin gene (DMD), which lead to a significant decrease or complete absence of the protein of the same name in muscle fibers. The disease manifests itself in boys from the age of 2–5 years in the form of progressive muscular weakness, cardiomyopathy and respiratory failure. As a result of progression, patients lose the ability to move by adolescence and die in the third decade from cardiopulmonary complications. However, timely pathogenetic therapy for Duchenne muscular dystrophy can prolong the life of patients and improve its quality. In this regard, early diagnosis of the disease and early initiation of pathogenetic therapy are very important.The article describes two clinical cases of the disease in siblings with onset at 2 years of age and different ages of diagnosis. Pathogenetic therapy in the first case made it possible to prolong the patient’s outpatient stay and improve the quality of life, and early diagnosis and initiation of pathogenetic therapy in the second case avoided disease progression and contributed to the development of new motor skills. The presented clinical case demonstrates the need for early diagnosis of the disease even before the onset of clinical manifestations.
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publishDate 2024-09-01
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series Нервно-мышечные болезни
spelling doaj-art-9a0d42f4cb8e4d72b1968614215d21b32025-08-20T03:00:40ZrusABV-pressНервно-мышечные болезни2222-87212413-04432024-09-0114310210710.17650/2222-8721-2024-14-3-102-107395Positive experience in treating patients with Duchenne muscular dystrophy caused by a nonsense mutation: family clinical caseL. S. Kraeva0E. V. Fadeeva1Siberian State Medical University, Ministry of Health of RussiaChildren’s Hospital No. 1Duchenne muscular dystrophy is a severe genetic disease caused by mutations in the dystrophin gene (DMD), which lead to a significant decrease or complete absence of the protein of the same name in muscle fibers. The disease manifests itself in boys from the age of 2–5 years in the form of progressive muscular weakness, cardiomyopathy and respiratory failure. As a result of progression, patients lose the ability to move by adolescence and die in the third decade from cardiopulmonary complications. However, timely pathogenetic therapy for Duchenne muscular dystrophy can prolong the life of patients and improve its quality. In this regard, early diagnosis of the disease and early initiation of pathogenetic therapy are very important.The article describes two clinical cases of the disease in siblings with onset at 2 years of age and different ages of diagnosis. Pathogenetic therapy in the first case made it possible to prolong the patient’s outpatient stay and improve the quality of life, and early diagnosis and initiation of pathogenetic therapy in the second case avoided disease progression and contributed to the development of new motor skills. The presented clinical case demonstrates the need for early diagnosis of the disease even before the onset of clinical manifestations.https://nmb.abvpress.ru/jour/article/view/624duchenne muscular dystrophydmd genedystrophinpathogenetic therapytranslarnaataluren
spellingShingle L. S. Kraeva
E. V. Fadeeva
Positive experience in treating patients with Duchenne muscular dystrophy caused by a nonsense mutation: family clinical case
Нервно-мышечные болезни
duchenne muscular dystrophy
dmd gene
dystrophin
pathogenetic therapy
translarna
ataluren
title Positive experience in treating patients with Duchenne muscular dystrophy caused by a nonsense mutation: family clinical case
title_full Positive experience in treating patients with Duchenne muscular dystrophy caused by a nonsense mutation: family clinical case
title_fullStr Positive experience in treating patients with Duchenne muscular dystrophy caused by a nonsense mutation: family clinical case
title_full_unstemmed Positive experience in treating patients with Duchenne muscular dystrophy caused by a nonsense mutation: family clinical case
title_short Positive experience in treating patients with Duchenne muscular dystrophy caused by a nonsense mutation: family clinical case
title_sort positive experience in treating patients with duchenne muscular dystrophy caused by a nonsense mutation family clinical case
topic duchenne muscular dystrophy
dmd gene
dystrophin
pathogenetic therapy
translarna
ataluren
url https://nmb.abvpress.ru/jour/article/view/624
work_keys_str_mv AT lskraeva positiveexperienceintreatingpatientswithduchennemusculardystrophycausedbyanonsensemutationfamilyclinicalcase
AT evfadeeva positiveexperienceintreatingpatientswithduchennemusculardystrophycausedbyanonsensemutationfamilyclinicalcase