A high‐risk alveolar rhabdomyosarcoma case with Duchenne muscular dystrophy

2021 ◽  
Author(s):  
Keisuke Okuno ◽  
Daisuke Kawaba ◽  
Atsushi Maejima ◽  
Sosuke Kakee ◽  
Noriyuki Namba



2021 ◽  
Vol 9 ◽  
Author(s):  
Ahmed K. Bamaga ◽  
Fouad Alghamdi ◽  
Nahla Alshaikh ◽  
Waleed Altwaijri ◽  
Fahad A. Bashiri ◽  
...  

Background: The coronavirus disease 2019 (COVID-19) pandemic has caused overwhelming challenges in healthcare worldwide. During such an outbreak, some needs of high-risk groups who require regular follow-ups and long-term management are not met. The vulnerable populations include patients with Duchenne muscular dystrophy (DMD). Duchenne muscular dystrophy is characterized by respiratory complications caused by muscle weakness. Hence, patients with this condition are at high risk of severe diseases including COVID-19.Methods: To standardize care and provide optimal treatment to DMD patients in Saudi Arabia during the COVID-19 pandemic, a panel of experts including neurologists and pediatricians consolidated recommendations for healthcare professionals and caregivers.Results: During this pandemic, substituting unnecessary clinic visits with virtual clinic services was highly recommended, if possible, without compromising clinical outcomes. Duchenne muscular dystrophy patients with respiratory complications should be closely monitored, and those with cardiovascular complications must continue taking angiotensin-converting enzyme inhibitors or angiotensin receptor blockers. Moreover, individualized home-based rehabilitation management was preferred. Glucocorticoid and new gene correction therapies should be continued. However, new gene correction therapy must be post-poned in newly diagnosed patients. A multidisciplinary decision was required before the initiation of hydroxychloroquine based on the COVID-19 treatment protocol.Conclusion: COVID-19 has caused challenges and transformed access to health care. However, these limitations have provided opportunities for the health care system to adapt. Further, telemedicine has become a reliable platform for follow-up appointments that should be conducted by a multidisciplinary team including physicians, dieticians, and physical therapists.







1999 ◽  
Vol 21 (6) ◽  
pp. 528-530 ◽  
Author(s):  
Hans-Christoph Rossbach ◽  
Attilano Lacson ◽  
Nanette H. Grana ◽  
Jerry L. Barbosa


1990 ◽  
Vol 6 (2) ◽  
pp. 52-55 ◽  
Author(s):  
V. N. Gorbunova ◽  
V. V. Krasilnikov ◽  
M. V. Aseev ◽  
N. V. Santzevich ◽  
V. S. Buranov


2009 ◽  
Vol 34 (3) ◽  
pp. 401-406 ◽  
Author(s):  
Masashi Takaso ◽  
Toshiyuki Nakazawa ◽  
Takayuki Imura ◽  
Naonobu Takahira ◽  
Moritoshi Itoman ◽  
...  






2011 ◽  
Vol 42 (S 01) ◽  
Author(s):  
B Geers ◽  
S Elsenbruch ◽  
J Schmid ◽  
U Schara


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