We report a case of congenital myotonic dystrophy (CMD) in which not o
nly the mother,but also the paternal familiy is affected by myotonic d
ystrophy (DM). Clinical symptoms consisted of poor spontaneous movemen
ts, typical facial appearance, respiratory insufficiency attributable
to diaphragmatic weakness, feeding difficulties due to impaired gastro
intestinal tract motility and poor sucking, joint contractures and thi
n ribs. She died at 7 month of age, still ventilated, from aspiration
pneumonia. By employing moleculargenetic methods we were able to show
that the affected child was not homozygous for the DM gene.