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Pericardial effusion with cardiac tamponade as a cardiac manifestation of duchenne muscular dystrophy
Author(s) -
Lin JainnJim,
Hwang MaoSheng,
Hsia ShaoHsuan,
Chung HungTao,
Chang YuSheng,
Lin KuangLin
Publication year - 2009
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.21346
Subject(s) - medicine , cardiac tamponade , pericardial effusion , muscular dystrophy , duchenne muscular dystrophy , cardiology , cardiomyopathy , surgery , heart failure
Duchenne muscular dystrophy (DMD) is the most common hereditary neuromuscular disease in children. It is an X‐linked hereditary dystrophinopathy due to the absence of dystrophin. Its onset is often in early childhood and presents with proximal distribution of weakness and a progressive course. Cardiac involvement in DMD is common, and its onset is usually after the age of 10 years. The most common cardiac manifestations are a dilated cardiomyopathy and cardiac arrhythmia. However, pericardial effusion with cardiac tamponade is a very rare cardiac complication of DMD. We report a boy with DMD who initially presented with progressive dyspnea and an enlarged cardiac silhouette on chest radiography who subsequently developed a large pericardial effusion with cardiac tamponade. Early recognition of pericardial effusion with cardiac tamponade is important for institution appropriate therapy. Muscle Nerve, 2009