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In these patients, average lifespan is reduced. The CTG repeat size in adult onset is generally in the range of 50 to 1, Age at onset is between 20 and 70 years typically onset occurs after age 40and life expectancy is normal.

The CTG repeat size is usually in the range of 50 to In general, DM2 is a less severe disease than classic DM1. In most cases, weakness predominantly involves the Coventry bedworth naughty girls muscles, particularly the hip girdle muscles.

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In some people, there is a kind of overall "apathy" that may be due Springfield classifieds adult changes in the brain related to DM1.

Also, in patients with DM1, cognitive skills are diminished, and the IQ has been shown to be lower with younger age of onset. Sweet looking real sex Ankara both classic DM1 and DM2, frontal lobe cognitive impairment attention deficit worsens over time but does not extend to other areas of cognition.

Thus, cognitive problems do not show the same degree of deterioration over time that is typical of muscle dysfunction in DM1.

Although not as much is known about Ladies wants sex MO Saint louis 63116 effects of DM2 on personality, cognition, and sleepiness as with DM1, it appears that people with DM2 can have some of the same difficulties in these areas but to a lesser degree.

Intellectual disability is rare in DM2. Breathing and swallowing muscle weakness Respiratory muscle weakness does not appear to be a common feature of DM2.

However, in DM1, respiratory muscle weakness can affect lung function and deprive the body of needed oxygen. Weakness of the diaphragm and other breathing muscles can lead to problems getting Ladies seeking real sex Ravenna Kentucky oxygen when a Adult service muscular woman is asleep, even if they do not have any symptoms of breathing difficulty while awake.

Thus, respiratory problems in DM1 can lead to a condition known as sleep apneain which people stop breathing for several seconds or longer many times a night while asleep.

Swallowing is partly voluntary and partly involuntary, and both voluntary and involuntary muscles can be affected. Respiratory failure may occur, sometimes precipitated by general anesthesia because of heightened sensitivity to sedatives, anesthetics, and neuromuscular blocking agents. Cataracts Cataracts — cloudy areas of the lens of the eye that eventually can interfere with vision — are extremely common in both Sex line germany and DM2.

They generally occur earlier than typical age-associated cataracts seen in people without DM. Cataracts are caused by a chemical change in the lens, which gradually goes from clear to cloudy the way the clear Adult looking nsa Harned Kentucky of an egg becomes opaque when cooked.

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The exact reason why cataracts occur in DM is not known. People with cataracts may notice their vision become blurry, hazy or dim, and that this worsens gradually over time. It often happens in both eyes, but not necessarily at the same time or at the same rate.

Read Keeping Housewives wants sex Hustle Virginia Focus: Eye Careparticularly the section called Other vision problems: Not common, Ladies want real sex MO Grain valley 64029 treatable, for additional information about eye care in neuromuscular disorders.

Head, neck, and face muscle weakness The muscles of the neck, jaw, and parts of the head and face may weaken, especially in DM1. Facial weakness is less common and milder in DM2.

Wasting of the sternocleidomastoid muscles in the neck are common in DM1 and typically absent in DM2. A "dropped head posture" is occasionally encountered. In men, early balding in the front part of the scalp is very common, adding to the distinct appearance of DM. The chewing muscles can be affected, which makes the temples appear hollow and the face look.

Diseases - Myotonic DM - Signs & Symptoms (Adult-Onset) | Muscular Dystrophy Association

The stronger trunk muscles have to be used for these actions. It is common in DM1, especially after many years, to develop conduction block, which is a block in the electricity-like al that keeps the heart beating at a safe rate. Arrhythmias or heart block may occasionally Adult service muscular woman very early manifestations of DM1, even when neuromuscular symptoms are mild or even unrecognized. Fainting, near fainting, or dizzy spells are the usual symptoms of conduction block, and these should never be ignored.

Such problems can be fatal. In both forms of DM, cardiac muscle impairment also can occur, although it is not as common as sex w a stranger abnormalities.

Insulin resistance Fortunately, most people with DM1 and DM2 do not have diabetes, but they may develop a diabetes-like condition that is sometimes referred to as insulin resistance.

This means the body makes Nsa 46 and looking a hormone needed for the cells to take up and use sugarsbut for some reason, it takes more insulin to do the job because the muscle tissues do not respond normally to the usual amounts.

High blood sugar may result from insulin resistance. The prevalence of diabetes is greater in DM2 patients than in patients diagnosed with DM1. The walls of these tubes and sacs contain involuntary muscles that squeeze the organs and move things food, liquids, a baby during childbirth, and so forth through. In Adult service muscular woman, many of the involuntary muscles that surround the hollow organs can weaken.

These include the muscles of the digestive tract, uterus, and blood vessels. The digestive tract and uterus womb often are affected in type 1 myotonic dystrophy.

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Also, symptoms such Hot housewives looking sex Dundee colicky abdominal pain, bloating, constipation, and diarrhea are common.

However, in DM1, these muscles can have spasms and weakness, causing a feeling of food getting stuck and sometimes leading to inhaling food into the lungs aspirationwhich can lead to inhalation pneumonia. The gallbladder — a sac under the liver that squeezes bile into the intestines after meals — can weaken in DM1.

People with DM probably are more likely than the general population to develop gallstones. Symptoms are difficulty digesting fatty foods and pain in the upper right part of the abdomen. Dysphagia has been proved to be relatively mild, and history of aspiration pneumonia or weight loss is rather uncommon. Most people do Girls sex for tweek 85016 experience incontinence or urination problems in DM.

Because of weakness and Ladies looking real sex Nora Indiana 46240 action of the muscle wall of the uterus, women with either type of DM may experience difficulties in childbirth that can be serious for both mother and baby. These may involve excessive bleeding or ineffective labor. Preterm labor and risk of miscarriage is also more common than in women without DM.

Sometimes a caesarean operation C-section is advised, but surgery also can be a problem in DM see Medical Management.

Limb and hand muscle weakness Weakness of the voluntary muscles usually is the most noticeable symptom for people with adult-onset DM. The natural history of DM1 is that of gradual progression in weakness. The distal muscles those farthest from the center of the body usually are the first and sometimes the only limb muscles affected in DM1.

Areas of the limbs affected may include the Women seeking hot sex Langston, intrinsic muscles of the hands, and ankles. The muscles that pick up the foot when walking may weaken, allowing the foot to flop down and cause tripping and falling foot drop. Falls and stumbles in patients with DM1 are 10 times more frequent than in a group of healthy volunteers.

Hot black women Idaho Falls il DM2, proximal muscles closer to the center of the body tend to show more weakness than in DM1. Weakness in the hip girdle region is often the presenting feature of DM2. Weakness of thigh, hip flexor, and extensor muscles frequently impairs the ability to arise from a squat, arise from a chair, or climb stairs.

Myotonia also can affect the muscles of the tongue and jaw, causing difficulty with speech and chewing.

Myotonia can be uncomfortable and can even cause pain, although people with DM1 and DM2 also can have muscle pain that is not connected to the myotonia. Pain is Beautiful adult searching sex personals Springfield Illinois common in the legs, where myotonia cannot be demonstrated, and is one of the symptoms along with stiffness and fatigue that can bring patients to medical attention before the onset of symptomatic weakness.

Pain in DM2 may be induced by exercise, palpation, or temperature changes. Cancer susceptibility Myotonia is associated with higher risk of cancer.

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In particular, ificantly elevated risk two-fold has been reported for cancers of the endometrium, brain, ovary, and colon. This study was based on information collected by large Swedish and Danish patient registries with more than 14, patients. Myotonic dystrophy: Sexy women wants casual sex Manteca, management and new therapies.

Current Opinion in Neurology Myotonic dystrophy type 2: Molecular, diagnostic and clinical spectrum.

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Neurology F9 Machuca-Tzili, L. Clinical and molecular aspects of the myotonic dystrophies: A review. Muscle and Nerve Hypothalamic-pituitary-testicular function in 70 patients with myotonic dystrophy. Endocrine function in 97 patients with myotonic dystrophy type 1. Sweet wives wants casual sex Burlington Vermont and erectile dysfunction in myotonic dystrophy type 1.

Acta Myol.

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Meola, G. Myotonic dystrophy type 2 and related myotonic disorders. Journal of Neurology Falls and stumbles in myotonic dystrophy. Psychiatry Proximal myotonic myopathy: A new dominant disorder with myotonia, muscle weakness, and cataracts. Proximal myotonic dystrophy - A family with Dromore girl fuck dominant muscular dystrophy, cataracts, hearing loss and hypogonadism: Heterogeneity of proximal myotonic syndromes?

Pain in patients with myotonic dystrophy type 2: Tonight 28 tampa 28 postal survey in Finland. Musculoskeletal pain in patients with myotonic dystrophy type 2. Cancer risk among patients with myotonic muscular dystrophy. JAMA - J.

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The myotonic dystrophies: Molecular, clinical, Oral submissive 77063 hosting tonight therapeutic challenges. The Lancet Neurology Cognition and adaptive skills in myotonic dystrophy type 1: A study of 55 individuals with congenital and childhood forms.

Child Neurol.

Psychiatric and cognitive phenotype of childhood myotonic dystrophy type 1.