|
Date of birth |
|
Nationality |
|
Address |
|
Participation in patients’ association |
|
Proposal for clinical trials |
Clinical items |
Presence or absence of family history |
|
Consanguinity |
|
Muscle histology (rimmed vacuoles, intranuclear aggregates) |
|
(GCN)n repeat-length |
|
Height and weight |
|
Age at onset |
|
Initial symptoms |
|
Age at ptosis |
|
Age at diplopia |
|
Age at dysarthria |
|
Age at dysphagia |
|
Age at diet restrictions/alterations |
|
Age at tube feeding |
|
Age at lower proximal weakness |
|
Age at gait disorder |
|
Age at upper proximal weakness |
|
Any other complications including neuropathy |
|
Respiratory (% vital capacity and % forced vital capacity) |
|
Cardiac functions (% ejection fraction and % fractional shortening) |
|
Electrocardiography |
|
Serum CK levels |