Table 4.

Recommended Evaluations Following Initial Diagnosis in Children with Myotonic Dystrophy Type 1

System/ConcernEvaluationComment
Neurologic Baseline neurologic eval
Other Developmental assessmentTo incl assessment of motor, cognitive, & psychosocial function
Consultation w/clinical geneticist &/or genetic counselor
Eyes Ophthalmologic evalBy ophthalmologist familiar w/iridescent posterior subcapsular cataract characteristic of DM1
Cardiovascular EKGTo evaluate syncope, palpitations, & other symptoms of potential cardiac origin
Cardiology consultation
Respiratory Pulmonary function testsPneumonia risk
Endocrine Fasting blood glucose or HbA1c

From: Myotonic Dystrophy Type 1

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