Publication: Dilemma in the Management of Duchenne Muscular Dystrophy in a Resource Limited Settings Authors
Date
2018
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Duchene muscular dystrophy is an x-linked recessive genetic disorder which present with progressive muscle weakness in children. It is often complicated by child becoming wheelchair bound by age 12. This limitation on the child and lack of cure is a great burden on the child, family and the community. We present a case of an 11-year old boy who presented with a seven years history of progressive limb weakness. Examination revealed hyper-lordosis of the thora-columbar spine, hypertrophied calf muscles, weak lower limbs and waddling gait. Due to financial constraint, only histology was relied on for definitive diagnosis. He was counselled, placed on prednisolone and commenced physiotherapy. This case portrays the challenges associated with the management of a rare disease in resource constraint settings.
Description
Ahmadu Baba Usman
Department of Paediatrics, Federal Medical Centre Yola. Adamawa State Nigeria
Pembi Emmanuel
Adamawa State Ministry of Health, Yola. Adamawa State, Nigeria
Ovansa Emmanuel Onimisi
Department of Paediatrics, Federal Medical Centre Yola. Adamawa State Nigeria
Adewale O. Oyinloye
Department of Surgery, Federal Medical Centre Yola, Nigeria
Apollos Nachanuya
Department of Paediatrics, Federal Medical Centre Yola. Adamawa State Nigeria
Auwal M. Abubakar
Department of Surgery, Federal Medical Centre Yola, Nigeria
Haruna A. Nggada
Department of Laboratory Services, Histopathology Unit, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria
Keywords
Duchene Muscular dystrophy, Nigeria, Children