BERNARD M. SCHUMAN, M.D.; JOSEPH A. RINALDO JR., M.D.; J. DANA DARNLEY, M.D.
The myotonia and eventual atrophy of skeletal muscle have diverted attention from alterations of other muscular structures in myotonic dystrophy. In recent years greater recognition of this disease as a generalized muscular disorder has come about because of reports of significant cardiopulmonary changes (1). These changes have been found prior to clinically evident skeletal myotonia in some instances (2). That smooth muscle may be affected has not been widely appreciated, and associated functional alteration of viscera has been overlooked as a source of symptoms in this disorder.
We studied seven males and five females who had clinical evidence of
SCHUMAN BM, RINALDO JA, DARNLEY JD. Visceral Changes in Myotonic Dystrophy. Ann Intern Med. ;63:793–799. doi: 10.7326/0003-4819-63-5-793
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Published: Ann Intern Med. 1965;63(5):793-799.
Esophageal Disorders, Gastroenterology/Hepatology, Hospital Medicine.
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