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Published on: July 29, 2016
Laboratory abnormalities in patients with myotonic dystrophy type 2
Chad Heatwole1, Nicholas Johnson, Bradley Goldberg
1Neuromuscular Division, Department of Neurology, University of Rochester Medical Center, Rochester, NY 14642, USA. Chad_Heatwole@URMC.Rochester.edu
Myotonic dystrophy type 2 (DM2) causes frequent laboratory abnormalities, including elevated creatine kinase and low IgG levels. These findings aid in understanding DM2
Area of Science:
- Neurology
- Clinical Pathology
Background:
- Myotonic dystrophy type 2 (DM2) is a progressive adult-onset muscular dystrophy.
- DM2 presents with debilitating weakness, myotonia, cataracts, and potential multi-organ dysfunction.
Purpose of the Study:
- To analyze and compile laboratory abnormalities in patients diagnosed with DM2.
- Identify common patterns of laboratory test deviations in DM2.
Main Methods:
- Compiled baseline laboratory data from 83 adults with DM2 (49 with documented screening).
- Analyzed 1442 studies across 68 different laboratory tests.
- Determined individual frequencies of abnormal laboratory values.
Main Results:
- 24.9% of all laboratory studies showed abnormal results.
- Elevated creatine kinase, total cholesterol, lactate dehydrogenase, and alanine aminotransferase were frequent.
- Low serum IgG (75%) and absolute lymphocyte counts (54%) were observed in DM2 patients.
Conclusions:
- Patients with DM2 exhibit a high frequency of laboratory abnormalities.
- These findings offer insights into DM2's widespread pathology.
- Abnormalities may guide clinical monitoring and disease screening strategies.
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