Presentation
Swelling of both calves, pain and difficulty in walking.
Patient Data
Age: 25 years
Gender: Female
From the case:
Muscular dystrophy
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Gross fatty atrophy of bilateral soleus muscles with near complete fatty replacement. Moderate to severe fatty atrophy of bilateral medial heads of gastrocnemius muscles is seen (left>right). Bilateral lateral heads of gastrocnemius muscles are spared. Mild fatty atrophy with edema in bilateral tibialis posterior muscles is seen (right>left).
From the case:
Muscular dystrophy
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Significant fatty atrophy of muscles of posterior compartments of thigh bilaterally including adductor muscles.
Case Discussion
Above findings are consistent with muscular dystrophy. The pattern and groups of muscles involved suggest the possibility of limb girdle muscular dystrophy (LGMD2A).
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