Tongue Fasciculations in Kennedy's Disease



A man in his 40’s with progressive nasal twang, dysphagia and weakness climbing stairs.  Exam from the front shows a pectoral crease (sign of trapezius weakness & gynecomastia). Final Dx- Kennedy’s disease: X-linked slowly progressive  adult-onset disease characterized by muscle weakness - Spinobulbar distribution & Gynecomastia . Treatment is symptomatic and supportive, and life expectancy is normal. 



Dr. Boby Varkey Maramattom @bobvarkey



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