Table 1.
The report form for registry to Remudy
| Contact | Clinical data |
|---|---|
| -Name |
-Data |
| -ID number |
-Muscle biopsy |
| -Hospital |
•Examed/not examed |
| -Date of birth |
•Dystrophin immunostain |
| -Address |
-Walking capability |
| -Phone |
•Ambulant /wheelchair |
| -E-mail |
-Use steroid therapy |
| -Signed up for other registries |
-Cardiac function |
| -Attending any clinical trials |
•LVEF(%) |
| -Registering other database |
•Medication |
| Diagnosis |
-Respiratory function |
| -DMD/BMD/IMD |
•FVC |
| -Proof of the diagnosis |
•Mechanical support |
| •Genetic confirmed |
-Scoliosis surgery |
| •Muscle biopsy |
-CK level |
| •Suspected from family history |
-Weight |
| •Others |
Molecular genetic data (certificated report should be attached) |
| |
-Method |
| |
•MLPA/Multiplex PCR/southern blot/RT-PCR/ Direct sequencing of exons |
| |
-Type of mutation |
| |
•Deletion/duplication/others |
| •Details of the mutation |
DMD, Duchenne muscular dystrophy; BMD, Becker muscular dystrophy; IMD, Intermediate muscular dystrophy; MLPA, Multiplex ligation-dependent probe amplification; LVEF, Left ventricular ejection fraction; FVC, Forced vital capacity; CK, Creatine kinase.