Fig 2 - uploaded by Sholahuddin Rhatomy
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A. Walking with tiptoe is an early sign of DMD, often with transient hypertropy of gastrocnemius muscle. B. Meryon's sign was occurred while the patient slip through examiner's grasp when lifted under arm.
Source publication
![Staging of DMD [1].](profile/Sholahuddin-Rhatomy/publication/351287961/figure/tbl1/AS:1029775267205122@1622528964414/Staging-of-DMD-1_Q320.jpg)
Introduction
and importance: Duchenne muscular dystrophy (DMD) is a rare neuromuscular disease, affected male at young age, progressive and deteriorating symptoms followed the age and usually died in age 20. The early sign of DMD or early ambulatory DMD appeared lately after walking age, and progressively deteriorated by the time of aging.
Case Pr...
Context in source publication
Context 1
... with ambulance. He was struggling to climb the stairs or even get up from the floor, he was also frequently fall and stumble. He needed to push up his body with his arm to be able to stand up from the floor (Gowers' sign on Fig. 1). His mother said he used to walk with tiptoe even in a short distance running and the Meryon's sign was observed (Fig. 2). His birth history is normal, he was born at 39 weeks of gestational age, with normal vaginal delivery, birth weight 3800 gr, cried spontaneously. Mother had no history of drug consumption during pregnancy. He has normal developmental milestones record, completed all the immunization series, and no family history described the same ...
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