Abnormal liver function tests in a patient with myotonic dystrophy type 1



Título del documento: Abnormal liver function tests in a patient with myotonic dystrophy type 1
Revue: Annals of hepatology
Base de datos: PERIÓDICA
Número de sistema: 000416627
ISSN: 1665-2681
Autores: 1
1
2
1
3
Instituciones: 1University Hospital of Patras, Department of Gastroenterology, Patras. Grecia
2University Hospital of Patras, Department of Pathology, Patras. Grecia
3University Hospital of Patras, Department of Internal Medicine, Patras. Grecia
Año:
Periodo: Ene-Feb
Volumen: 11
Número: 1
Paginación: 130-133
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico
Resumen en inglés Myotonic dystrophy type 1, also known as Steinert’s disease, is a multisystemic disorder with significant genetic and clinical heterogeneity. Apart from skeletal muscles’ myotonia and wasting, a variety of system organs can be affected. We report on a 49 years old female patient with unremarkable medical and family history, who presented with elevated liver enzymes without signs or symptoms of chronic liver disease neither neurological features. Initial assessment, including liver biopsy, did not reveal the cause of these abnormalities. Eight months later, she complained for disequilibrium and eventually electromyography confirmed the diagnosis of Steinert’s disease. Steinert’s disease should be considered in the differential diagnosis of patients with elevated liver enzymes, as long as abnormal liver tests may be the initial presentation. The pathophysiological mechanism of this abnormality remains unclear
Disciplinas: Medicina
Palabras clave: Gastroenterología,
Neurología,
Distrofia miotónica,
Enfermedad de Steinert,
Función hepática,
Pruebas diagnósticas
Keyword: Gastroenterology,
Neurology,
Myotonic dystrophy,
Steinert disease,
Liver function,
Diagnostic tests
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