Late Presentation of Myotonic Dystrophy

    Charlene Lark, P ETTY, S TRONG
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    TLDR Myotonic dystrophy should be considered in patients with hair thinning, and genetic counseling is important.
    The document described two cases: a 74-year-old woman with a rare lichenoid drug eruption (LDE) caused by spironolactone, which resolved after discontinuation of the drug, and a 44-year-old woman whose fronto-parietal hair recession and thinning led to the diagnosis of myotonic dystrophy (MD). The MD diagnosis was confirmed by genetic testing showing over 1000 CTG repeats. The case emphasized the importance of considering MD in patients with androgenetic alopecia and highlighted the need for genetic counseling due to the severe implications for offspring.
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