Symptoms generally begin in the teens but might not occur until the mid-20s or later. Other types of muscular dystrophy Some types of muscular dystrophy are defined by a specific feature or by where in the body symptoms begin. Examples include: Myotonic. This is characterized by an inability to relax muscles following contractions. Facial and neck muscles are usually the first to be affected. People with this form typically have long, thin faces; drooping eyelids; and swanlike necks. Facioscapulohumeral (FSHD). Muscle weakness typically begins in the face, hip and shoulders. The shoulder blades might stick out like wings when arms are raised. Onset usually occurs in the teenage years but can begin in childhood or as late as age 50. Congenital. This type affects boys and girls and is apparent at birth or before age 2. Some forms progress slowly and cause only mild disability, while others progress rapidly and cause severe impairment. Limb-girdle. Hip and shoulder muscles are usually affected first.
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