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NEUROLOGY 1998;51:586-589
© 1998 American Academy of Neurology

A pilot study of dehydroepiandrosterone sulfate in myotonic dystrophy

M. Sugino, MD, PhD, N. Ohsawa, MD, PhD, T. Ito, MD, S. Ishida, MD, H. Yamasaki, MD, PhD, F. Kimura, MD, PhD and K. Shinoda, MD, PhD

From the First Department of Internal Medicine, Osaka Medical College, Osaka, Japan.

Address correspondence and reprint requests to Dr. Sugino, First Department of Internal Medicine, Osaka Medical College, 2-7 Daigaku-Cho, Takatsuki-City, Osaka 569-8686, Japan.

We studied the effect of IV administration of a dehydroepiandrosterone sulfate (DHEAS) preparation (200 mg/day for 8 weeks) in 11 patients with myotonic dystrophy (MyD). After DHEAS, activities of daily living improved, muscle strength increased, and myotonia decreased. Conduction block and premature beats also improved in the four patients with cardiac involvement. This pilot study may provide a rationale for a controlled study of DHEAS in MyD.


Received August 12, 1997. Accepted in final form March 19, 1998.




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