M. Mirabella et al., CARDIOMYOPATHY MAY BE THE ONLY CLINICAL MANIFESTATION IN FEMALE CARRIERS OF DUCHENNE MUSCULAR-DYSTROPHY, Neurology, 43(11), 1993, pp. 2342-2345
Cardiomyopathy was reported in a few Duchenne muscular dystrophy (DMD)
carriers with clinical evidence of myopathy. We report two carriers w
ith dilated cardiomyopathy, increased serum CK, and no symptoms of mus
cle weakness. In heart biopsies of both patients, dystrophin-the prote
in product of DMD locus-was absent in many fibers. Dilated cardiomyopa
thy may be the only manifestation of dystrophin gene mutation in carri
ers.