Comment investiguer une maladie musculaire?

Article Article scientifique Article Comment investiguer une maladie musculaire? fre 2003 author Kohler André 133987 author Bader Charles 26419 author Bernheim Laurent 22268 author Bottani Armand 513397 author Estade Miguel 100110 author Garcia J. F. author Haenggeli Charles-Antoine 123252 author Pizzolato G. P. author Magistris M. R. 45-49 15095727 0035-3655 Muscle diseases are an expanding field, mainly due to the progress in genetics and biochemistry. Evaluation starts with a thorough history of the patient's symptoms and signs. The leading clinical manifestations are weakness, atrophy, myalgia, fatigue, more rarely myotonia and in the child hypotonia or walking difficulty. A detailed family history might give clues to an underlying genetic etiology. Diagnostic workup begins with the measurement of serum creatine kinase. Electroneuromyography is an important investigation procedure which includes motor and sensory nerve conduction studies and concentric needle electromyography. Muscle biopsy is performed in all patients with clinical evidence of myopathy. A fine-needle technique is generally used, more often than a surgical biopsy. Molecular analysis of candidate genes is becoming a major diagnostic tool in many muscle disorders. Muscle imaging, in particular MR, provides diagnostic and follow-up information, especially in dystrophic, metabolic and inflammatory myopathies. Exercise testing can be useful in some metabolic myopathies. There is no standard protocol for the choice and course of investigations which must always be based on a detailed clinical evaluation. It is important to establish a precise diagnosis in order to inform the patient about the nature and the evolution of the disease, the therapeutic options and to propose, when indicated, genetic counseling. Adult Biopsy Child Electromyography Exercise Test Humans Middle Aged Muscular Diseases/ diagnosis/genetics/radiography Dewey 616.8 Dewey 618 53 Département de neurosciences fondamentales 21A 58 Département de pédiatrie, gynécologie et obstétrique 223 false Revue médicale de la Suisse romande 123 1 1f55cf03-e927-438d-8ca4-711f6dab8b46 Article (Published version) Restricted 45-49.pdf 2024992 application/pdf restrictedAccess Faculté de médecine / Section de médecine fondamentale / Département de neurosciences fondamentales Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Comment investiguer une maladie musculaire?	Revue médicale de la Suisse romande			2003	603	0

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