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Pediatric and systemic syndromes

Myotonic dystrophy

3:0914 visual cues2 clinical photos

In this image

Each number marks an object in the image and the finding it stands for.

  1. Young adultVariable age of onset
  2. Stuck gripMyotonia
  3. Wasted musclesProgressive weakness and wasting
  4. Crystal treeChristmas-tree cataract
  5. Crescent moonPosterior subcapsular cataract
  6. Speckled wrappingPigmentary retinopathy
  7. Drooping lidsPtosis
  8. Toy eyeballOphthalmoparesis
  9. Hatchet-shaped faceMyopathic facies
  10. Frontal hairlinePresenile frontal balding
  11. Heart monitorCardiac involvement
  12. Bull ornamentTesticular atrophy / gonadal dysfunction
  13. Children’s puzzlePossible cognitive / intellectual impairment
  14. DominoAutosomal dominant inheritance
  15. ReviewEvery marker, in order

Transcript

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Clinical image credits

Openly licensed photographs used in this lesson, with what was changed.

  1. Zahir F, Tahri H (2014). A Christmas tree cataract. Pan African Medical Journal 18:332. Figure 1, panels A and B. © Fadoua Zahir et al.

    CC BY 4.0ArticleDOI

    Original figure used unchanged; proportional display only.

    Exact changes

    Complete original Figure 1, both A and B clinical photographs and their original panel letters. Byte-identical publisher PNG; no crop, retouching, recoloring, enhancement, new annotations, arrows or upscaling.

  2. Leeuwenberg KE, Bruijnes JE, Karnebeek I, Smulders F, Altena-Rensen S, Gorissen-Brouwers CML, Klinkenberg S, Faber CG, Braakman H, Mul K (2025). The blind men and the elephant: recognising the multisystem symptoms of myotonic dystrophy type 1. Orphanet Journal of Rare Diseases 20:427. Figure 1.

    CC BY 4.0Article

    Complete original Figure 1 decoded to RGB PNG, preserving all pixels and framing. No crop, enhancement, retouching, new arrows or upscaling.

    Exact changes

    Complete original Figure 1 decoded to RGB PNG, preserving all pixels and framing. No crop, enhancement, retouching, new arrows or upscaling. Publisher source filename says Fig2 but the article and figure page label it Figure 1.