Myotonic dystrophy type 1 (DM1) [1] is an autosomal dominant multi-system disorder. The range of clinical features is well described [2,3,4]. The clinical picture is dominated by the consequences of muscle involvement, with associated risks of respiratory failure and cardiac arrhythmias. More recently the major impact of brain involvement on individuals and families has been recognised [5,6]. However, in addition, a major feature causing distress for patients and families relate to symptoms of bowel dysfunction.

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