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  3. Vol. 2 No. 4 (2015): AUTUMN
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Vol. 2 No. 4 (2015)

May 2016

Weakness and progressive muscle tightness diagnosed as Kennedy disease

  • Behdad Behnam
  • Mehran Arab Ahmadi
  • Farzad Ashrafi

International Clinical Neuroscience Journal, Vol. 2 No. 4 (2015), 5 May 2016 , Page 147-148
https://doi.org/10.22037/icnj.v2i4.11671 Published: 2016-05-05

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Abstract

Kennedy disease is a rare X-linked neurodegenerative disorder that affects patients in 30-50 years of age. It is caused by CAG-repeat in androgen receptor gen. There is no known effective treatment for Kennedy disease. We report a 60-year-old man who had fasciculations and proximal and distal muscle weakness. Physical examination showed involvement of the bulbar musculature accompanied by tongue atrophy and perioral muscle weakness. Furthermore, he had bilateral gynecomastia. Laboratory and imaging findings were normal, except electromyography that showed chronic proximal and distal denervation. Finally, the patient diagnosed with Kennedy disease according to clinical presentation and EMG abnormality that confirmed with genetic study.

Keywords:
  • Spinobulbar muscular atrophy
  • Kennedy disease
  • x-linked
  • Neurodegenerative
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How to Cite

1.
Behnam B, Arab Ahmadi M, Ashrafi F. Weakness and progressive muscle tightness diagnosed as Kennedy disease. Int Clin Neurosci J [Internet]. 2016 May 5 [cited 2026 Jul. 8];2(4):147-8. Available from: https://journals.sbmu.ac.ir/neuroscience/article/view/11671
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References

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Dimachkie MM, Barohn RJ, editors. Idiopathic inflammatory myopathies. Seminars in neurology; 2012: NIH Public Access.

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Malik B, Nirmalananthan N, Bilsland LG, La Spada AR, Hanna MG, Schiavo G, et al. Absence of disturbed axonal transport in spinal and bulbar muscular atrophy. Human molecular genetics. 2011:ddr061.

Parboosingh J, Figlewicz D, Krizus A, Meininger V, Azad N, Newman D, et al. Spinobulbar muscular atrophy can mimic ALS: the importance of genetic testing in male patients with atypical ALS. Neurology. 1997;49(2):568-72.

Grunseich C, Rinaldi C, Fischbeck K. Spinal and bulbar muscular atrophy: pathogenesis and clinical management. Oral diseases. 2014;20(1):6-9.

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