![]() ![]() Cataracts are common in both DM1 and DM2, often occurring by middle age. ![]() Sometimes, an eye doctor will notice the kind of cataract found in myotonic dystrophy (DM) and suspect the disease, referring the patient to a neurologist. 1 Many also report that their parents had muscle-related issues. Many patients with DM1 tell the doctor about recurring abdominal pain, constipation, or obstetrical complications. In type 2 myotonic dystrophy (DM2), facial weakness may occur in later age and is not as prominent as it is in DM1 patients (also see Signs and Symptoms). For instance, teenagers and adults with DM1 usually have a characteristic long face with hollow temples, and males often have early balding. Sometimes, just by looking at a person, asking a few questions, and performing an examination, a doctor can be well on the way to suspecting DM1. Doctors with experience in neuromuscular disorders often find it easy to diagnose type 1 myotonic dystrophy (DM1).
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