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Becker muscular dystrophy information


Becker muscular dystrophy
Other namesBenign pseudohypertrophic muscular dystrophy[1]
X-linked recessive is the manner in which this condition is inherited
SpecialtyNeurology Edit this on Wikidata
SymptomsSevere upper extremity muscle weakness,[2] Toe-walking[3]
CausesMutations in DMD gene[4]
Diagnostic methodNeurological exam, muscle exam[3]
TreatmentNo current cure, Physical therapy [3]

Becker muscular dystrophy (BMD) is an X-linked recessive inherited disorder characterized by slowly progressing muscle weakness of the legs and pelvis. It is a type of dystrophinopathy.[5][3] The cause is mutations and deletions in any of the 79 exons encoding the large dystrophin protein, essential for maintaining the muscle fiber's cell membrane integrity.[6] Becker muscular dystrophy is related to Duchenne muscular dystrophy in that both result from a mutation in the dystrophin gene, however the hallmark of Becker is milder in-frame deletions.[4] and hence has a milder course, with patients maintaining ambulation till 50–60 years if detected early.[7][8]

While there is no known cure, management strategies such as physical therapy, braces, and corrective surgery may alleviate symptoms.[9] Assisted ventilation may be required in those with weakness of breathing muscles.[6] Several drugs designed to address the root cause are currently available including gene therapy (Elevidys).[6]

Other medications used include glucocorticoids (Deflazacort, Vamorolone); calcium channel blockers (Diltiazem); to slow skeletal and cardiac muscle degeneration, anticonvulsants to control seizures and some muscle activity, and Histone deacetylase inhibitors (Givinostat) to delay damage to dying muscle cells.[9][6] These patients do not require antisense drugs (Ataluren, Eteplirsen etc.) as certain percentage of dystrophin is already expressed.[6]

  1. ^ "Becker muscular dystrophy: MedlinePlus Medical Encyclopedia". medlineplus.gov. Archived from the original on 15 March 2017. Retrieved 30 July 2019.
  2. ^ Cite error: The named reference pat was invoked but never defined (see the help page).
  3. ^ a b c d "Becker muscular dystrophy". NIH. Archived from the original on 7 April 2016. Retrieved 17 April 2016.
  4. ^ a b "Becker muscular dystrophy | Genetic and Rare Diseases Information Center (GARD) – an NCATS Program". Archived from the original on 2016-04-28. Retrieved 2016-04-19.
  5. ^ "Duchenne and Becker muscular dystrophy". NIH.gov. NIH. Archived from the original on 24 March 2017. Retrieved 17 April 2016.
  6. ^ a b c d e Cite error: The named reference NIH2016Re was invoked but never defined (see the help page).
  7. ^ Aslesh, Tejal; Maruyama, Rika; Yokota, Toshifumi (2018-01-02). "Skipping Multiple Exons to Treat DMD—Promises and Challenges". Biomedicines. 6 (1): 1. doi:10.3390/biomedicines6010001. ISSN 2227-9059. PMC 5874658. PMID 29301272.
  8. ^ "Muscular Dystrophy, Becker". NORD (National Organization for Rare Disorders). Archived from the original on 2021-10-31. Retrieved 2021-04-17.
  9. ^ a b Cite error: The named reference NIH2016 was invoked but never defined (see the help page).

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