Pericardial effusion with cardiac tamponade as a cardiac manifestation of duchenne muscular dystrophy |
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| Authors: | Jainn‐Jim Lin MD Mao‐Sheng Hwang MD Shao‐Hsuan Hsia MD Hung‐Tao Chung MD Yu‐Sheng Chang MD Kuang‐Lin Lin MD |
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| Affiliation: | 1. Division of Pediatric Neurology, Department of Pediatrics, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 5 Fu‐Shin Street, Kwei‐Shan, Taoyuan, 333, Taiwan;2. Division of Pediatric Critical and Emergency Medicine, Department of Pediatrics, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan;3. Division of Pediatric Cardiology, Department of Pediatrics, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan;4. Division of Cardiovascular Surgery, Department of Surgery, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan |
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| Abstract: | 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 |
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| Keywords: | pericardial effusion cardiac tamponade Duchenne muscular dystrophy |
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