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  [2018] 6. Youn Shin Kim, Ji Hye Park
  Poster :      Date : 18-12-26 13:14     Hit : 11    
  Publication; issue :  2018 Year  42 Vol  4 iss  159 p
   (728.0K), Down : 6, 2018-12-26 13:14:57

An Experience of Judicial Autopsy for a Death by Muscular Dystrophy: An Autopsy Case

Korean J Leg Med 2018;42:159-163

Department of Forensic Medicine, Chosun University School of Medicine, Gwangju, Korea, Forensic Medicine Division, National Forensic Service Gwangju Institute, Jangseong, Korea

E-mail: ysk007fm@hotmail.com

Progressive muscular dystrophy (PMD) is a primary muscle disease characterized by progressive muscle weakness and wasting, which is inherited by an X-linked recessive pattern and occurs mainly in males. There are several types of muscular dystrophies classified according to the distribution of predominant muscle weakness including Duchenne and Becker, Emery-Dreifuss, facioscapulohumeral, oculopharyngeal, and limb-girdle type. Clinical manifestations of PMD are clumsy, unsteady gait, pneumonia, heart failure, pulmonary edema, hydropericardium, hydrothorax, aspiration, syncopal attacks, and sudden cardiac death. The deceased was a 34-year-old man, and the onset of the first clinical symptom, gait disturbance, was in his late teens. His elder brother had the same disease and experienced brain death after a head trauma and died after mechanical ventilation was discontinued. After an autopsy, we found contracture of the joints, pseudohypertrophy of the calf, wasting and fat replacement of the thigh muscle, pericardial effusion (80 mL), fibrosis and fat replacement of the cardiac ventricular wall, pulmonary edema, and froth in the bronchus. The cause of death was heart failure and dyspnea due to muscular dystrophy. There was no sign or suspicion of foul play in his death.

Key Words: Muscular dystrophies; Gait disturbance; Autopsy

   hit   datetime
Total 569
Category  iss Date / Subject / Contents / Writer
2018 (4) 9. Sang Jae Noh, Myung Seok Sim, Ae Ri Ahn, Ho Lee

Type A Aortic Dissection with Concomitant Acute Myocardial Infarction and Cardiac Tamponade: An Autopsy Case

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2018 (4) 8. Seok Joo Lee, Minsung Choi, Hongil Ha

Accidental Choking Deaths with Octopus minor and Octopus ocellatus

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2018 (4) 7. Tack Kune You, Byung Ha Choi, Bong Woo Lee, Young Shik Ch…

Death due to Aspergillus Tracheobronchitis: An Autopsy Case

Korean J Leg Med 2018;42:164-167

2018 (4) 6. Youn Shin Kim, Ji Hye Park

An Experience of Judicial Autopsy for a Death by Muscular Dystrophy: An Autopsy Case

Korean J Leg Med 2018;42:159-163

2018 (4) 5. Youn Shin Kim, In Kwan Hwang, Seohyun Moon, Ji Hye Park, …

Unexpected Death by Sepsis of Staphylococcus aureus with Infective Endocarditis and Paravertebral Abscess in a Fisherman during Sailing out for Fish: An Autopsy Case

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2018 (4) 4. Keunsoo Ham, Ki Pyoung Kim, Hojin Jeong, Seong Ho Yoo

Increased Ventrolateral Prefrontal Cortex Activation during Accurate Eyewitness Memory Retrieval: An Exploratory Functional Near-Infrared Spectroscopy Study

Korean J Leg Med 2018;42:146-152

2018 (4) 3. Byung-Yoon Roh, Jeong-Uk Seo, Chang-Gyum Kim, Chang-Un Ch…

The Application of Paewinsky et al.’s Age Estimation Method to Periapical Radiographs

Korean J Leg Med 2018;42:141-145

2018 (4) 2. Joo-Young Na, Jong-Tae Park

Analysis of the Absorbance Pattern of Postmortem Blood Sample Using Spectrometer

Korean J Leg Med 2018;42:126-140

2018 (4) 1. Ji Hye Park, Joo-Young Na, Bong Woo Lee, Kyung-moo Yang, …

A Statistical Analysis on Forensic Autopsies Performed in Korea in 2017
Korean J Leg Med 2018;42:111-125

2018 (3) 5. Jong-Pil Park, Seung-Gyu Choi, Sang-Seob Lee, Won-Joon Le…

Radiocarbon Dating of Skeletal Remains: Case Report

Korean J Leg Med 2018;42:105-109

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