Table 2.
Clinical findings in the 2 fibromyalgia-diagnosed patients who were found to have myotonic dystrophy type 2
Patient 1 | Patient 2 | |
---|---|---|
Age at fibromyalgia diagnosis, years | 45 | 39 |
Age at evaluation, years | 48 | 45 |
Age at symptom onset, years | 38 | 37 |
Symptoms at onset | Muscle pain and muscle stiffness | Muscle pain and muscle stiffness |
Years of subjective weakness | 5 | 7 |
Clinical myotonia | Absent | Absent |
Myotonia on electromyography | Present and widespread | Absent |
Cataracts | Absent | Absent |
Myalgia | Present and widespread | Present and widespread |
Serum creatine kinase, units/liter (normal 35–210) | 411 | 60 |
Serum gamma glutamyl transferase, units/liter (normal 10–75) | 76 | Not tested |
Other | Cholecystectomy at age 39 years | Sensorineural hearing loss, excessive sweating, tremor of hands |