Review  |   June 2017
Bridging the Gap: An Osteopathic Primary Care–Centered Approach to Duchenne Muscular Dystrophy
Author Notes
  • From the Department of Biomedical Sciences at the West Virginia School of Osteopathic Medicine in Lewisburg. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Predrag Krajacic, MD, West Virginia School of Osteopathic Medicine, Biomedical Sciences, 400 Lee St N, Lewisburg, WV 24901-1274. E-mail: pkrajacic@osteo.wvsom.edu
     
Article Information
Neuromusculoskeletal Disorders
Review   |   June 2017
Bridging the Gap: An Osteopathic Primary Care–Centered Approach to Duchenne Muscular Dystrophy
The Journal of the American Osteopathic Association, June 2017, Vol. 117, 377-385. doi:10.7556/jaoa.2017.076
The Journal of the American Osteopathic Association, June 2017, Vol. 117, 377-385. doi:10.7556/jaoa.2017.076
Abstract

Duchenne muscular dystrophy (DMD) is a deadly and incurable disease typically diagnosed in early childhood. Presently, the delay between a caregiver's initial concern and the primary care physician obtaining creatine kinase levels—the most important screening test—is more than a year. It is imperative to diagnose DMD as soon as possible because early treatment has the potential to double the patient's lifespan. In addition, because of geographic and economic disadvantages, multidisciplinary DMD treatment centers are not readily available to all patients. Therefore, the challenge of early diagnosis and treatment coordination rests with the primary care physician. The present review provides osteopathic primary care physicians with current and relevant information regarding DMD diagnosis and management.

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