Multiple Hemangiomas of the Tongue and Oral Cavity in a Myotonic Dystrophy Type 1 Patient: A Case Report
October 2023
in “
Chest
”
TLDR A patient with Myotonic dystrophy type 1 had multiple tongue hemangiomas and was sensitive to anesthesia.
The document presents a case of a 21-year-old female with Myotonic dystrophy type 1 (DM1), a rare musculoskeletal disease, who also had multiple hemangiomas on her tongue and oral cavity. The patient, who had a history of cataract surgery and pregnancy, was admitted to the hospital for preeclampsia with severe features. Post cesarean section with epidural anesthesia, she experienced somnolence, excessive weakness, and respiratory failure with hypercapnia. She responded well to therapy and was discharged without supplemental oxygen. The document suggests a possible association between DM1 and multiple tongue hemangiomas, a condition previously reported in only one other case. It also emphasizes the sensitivity of DM1 patients to anesthesia, including epidural, which can lead to respiratory failure.