Fractures and Linear Growth in a Nationwide Cohort of Boys With Duchenne Muscular Dystrophy With and Without Glucocorticoid Treatment

Shuko Joseph, Cunyi Wang, Kate Bushby, M. Guglieri, Iain Horrocks, Volker Straub, S. Faisal Ahmed, Sze Choong Wong

JAMA Neurology · 2019 · 100 citations · 29 references

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Abstract

In this large group of boys with DMD with longitudinal data, we document a high fracture burden. Boys treated with daily deflazacort had the highest fracture incidence rate and the greatest degree of linear growth failure. Clinical trials of primary bone protective therapies and strategies to improve growth in boys with DMD are urgently needed, but stratification based on GC regimen may be necessary.

References

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