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Open Access

UK Facioscapulohumeral Muscular Dystrophy (FSHD) Patient Registry

  • Libby Wood1,
  • Teresinha Evangelista1,
  • Fiona Norwood2,
  • Richard Orrell3,
  • Marita Pohlschmidt4,
  • Mark Busby5,
  • Andrew Graham4,
  • David Hilton-Jones6,
  • Cheryl Longman7,
  • Peter Lunt8,
  • Mark Roberts9,
  • Stuart Watt4,
  • Suzanne Watt4,
  • Tracey Willis10 and
  • Hanns Lochmüller1Email author
Orphanet Journal of Rare Diseases20149(Suppl 1):P6

https://doi.org/10.1186/1750-1172-9-S1-P6

Published: 11 November 2014

Keywords

Muscular DystrophyPatient RegistryFacial WeaknessCore DatasetOnline Portal

The United Kingdom (UK) Facioscapulohumeral Dystrophy (FSHD) Patient Registry launched in May 2013. Funded by the Muscular Dystrophy Campaign and supported by the TREAT-NMD Alliance. This patient driven registry collects the internationally agreed core dataset, an outcome of an ENMC Workshop held in 2010 [1], through a novel online portal (http://www.fshd-registry.org/uk). Genetic details are added by a nominated neuromuscular specialist. In addition questionnaires about pain, quality of life and scapular fixation are included.

In the 12 months between May 2013 and May 2014 over 400 people registered, 92% with a diagnosis of FSHD1. Similar proportions of patients registered from both sexes and 59% of patients were between 40 and 70 years old (mean 47.39). Muscle weakness was widely reported with periscapular shoulder weakness occurring most frequently (89%) followed by weakness of the hip girdle (73%), facial muscles (72%) and foot dorsiflexor (71%). The onset of facial weakness was reported significantly earlier than weakness in other areas with 66% experiencing facial weakness before 20 years old.

Full time wheelchair use was reported in 18% of cases, 62% having lost ambulation between 31 and 60 years old (mean 41.61). Use of a wheelchair or other assistive device part time was reported in 44% of cases. A small proportion of patients report hearing loss (18%), retinal vascular disease (2%) and using ventilation (7%).

Additional questionnaires on pain were completed by 350 patients during this time and the majority reporting at least some pain, most often described as tiring or aching. Persistent pain (experienced for at least 3 months in a year) was reported by 92% with 53% of people describing this pain as distressing, horrible or excruciating. The location of the pain is variable but most often reported in the shoulder.

A broad spectrum of patients has registered providing a new insight into the FSHD population in the UK. The Registry aims to help facilitate and accelerate clinical research and trials, sharing a common dataset with a growing number of FSHD registries around the world will allow the registry to achieve this locally and internationally. The registry is well placed to inform future clinical research and help develop of standards of care.

Authors’ Affiliations

(1)
Institute of Genetic Medicine, Newcastle University, Newcastle-upon-Tyne, UK
(2)
King’s College Hospital, London, UK
(3)
Institute of Neurology, University College London, London, UK
(4)
Muscular Dystrophy Campaign, London, UK
(5)
Bradford Royal Infirmary, Bradford, UK
(6)
Division of Clinical Neurology, University of Oxford, Oxford, UK
(7)
Southern General Hospital, Glasgow, UK
(8)
National Genetics Education and Development Centre, Birmingham, UK
(9)
Salford Royal, Manchester, UK
(10)
The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK

References

  1. Tawil R, van der Maarel S, Padberg GW, van Engelen BGM: 171st ENMC International Workshop: Standards of care and management of facioscapulohumeral muscular dystrophy. Neuromuscular Disorders. 2010, 20: 471-475. 10.1016/j.nmd.2010.04.007.View ArticlePubMedGoogle Scholar

Copyright

© Wood et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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