Consensus-based Care Recommendations for Congenital and Childhood-onset Myotonic Dystrophy Type 1

Overview

Journal Neurol Clin Pract

Date 2019 Nov 22

PMID 31750030

Citations 18

Authors

Nicholas E Johnson

Eugenio Zapata Aldana

Nathalie Angeard

Tetsuo Ashizawa

Kiera N Berggren

Chiara Marini-Bettolo

Tina Duong

Anne-Berit Ekstrom

Valeria Sansone

Cuixia Tian

Leah Hellerstein

Craig Campbell

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: Myotonic dystrophy type 1 is a multisystemic disorder caused by a noncoding triplet repeat. The age of onset is variable across the lifespan, but in its most severe form, the symptoms appear at birth (congenital myotonic dystrophy) or in the pediatric age range (childhood-onset myotonic dystrophy). These children have a range of disabilities that reduce the lifespan and cause significant morbidity. Currently, there are no agreed upon recommendations for caring for these children.

Recent Findings: The Myotonic Dystrophy Foundation recruited 11 international clinicians who are experienced with congenital and childhood-onset myotonic dystrophy to create consensus-based care recommendations. The experts used a 2-step methodology using elements of the single text procedure and nominal group technique. Completion of this process has led to the development of clinical care recommendations for this population.

Summary: Children with myotonic dystrophy often require monitoring and interventions to improve the lifespan and quality of life. The resulting recommendations are intended to standardize and improve the care of children with myotonic dystrophy.

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