Classification and terminology edit

FSHD is most popularly subdivided based on its genetic cause into FSHD1 and FSHD2, although this scheme has little relevance beyond laboratory methods of diagosis and how the disease is inherited.

FSHD can also be specified based on when it manifests. Infantile-onset describes FSHD that presents in infancy. Adult-onset describes FSHD that presents in adulthood.

Various other descriptors have been applied to FSHD based on the muscles involved. Facial-sparing, scapulo-peroneal, scapulo-humeral FSHD have all been used. However, these are just descriptors for which signs and symptoms are present in a disease that is already well-known to be extremely variable; an affected sibling could easily have the classic form of disease.

Infobox edit

Facioscapulohumeral muscular dystrophy
Other namesLandouzy–Dejerine muscular dystrophy, FSHMD, FSH
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A diagram showing the muscles commonly affected by FSHD
Pronunciation
SpecialtyNeurology, neuromuscular medicine
SymptomsFacial weakness, scapular winging, foot drop
ComplicationsChronic pain, scoliosis
Rare: respiratory insufficiency, hearing loss, retinal disease
Usual onsetAges 15 – 30 years
DurationLifelong
TypesFSHD1, FSHD2, infantile-onset
CausesGenetic (inherited or new mutation)
Risk factorsMale sex, extent of genetic mutation
Diagnostic methodGenetic testing
Differential diagnosisLimb-girdle muscular dystrophy (especially calpainopathy), Pompe disease, mitochondrial myopathy, polymyositis[2]
ManagementPhysical therapy, bracing, reconstructive surgery
MedicationClinical trials ongoing
PrognosisProgressive, unaffected life expectancy
FrequencyUp to 1/8,333[2]
  1. ^ The sources listed below differ on pronunciation of the 'u' in 'scapulo'. A 'long u' sound in an unstressed nonfinal syllable is often reduced to a schwa and varies by speaker.
    • "Facioscapulohumeral". Merriam-Webster.com Dictionary.
    • "Facioscapulohumeral". Medical Dictionary, Farlex and Partners, 2009.
  2. ^ a b Cite error: The named reference Wagner2019Review was invoked but never defined (see the help page).