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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes No Latching In New Born With CPK Of 206?

dear sir, my wife delivered a girl child on 15 may 2011 by ceserian, the pregenancy was 8 month and 15 days old. The birth weight of child is 2.7 kg. the child was floopy and has low muscles tone.The child has a breathing problem which automatically recovered after 4 hours.The child was not able to suck the milk of his mother so she is on pipe feeding. The doctor suspect of muscles distrophy and CPK was found 1358 on first day. On 6th day CPK was retested and found 206 and the condition of child is better by almost 25%. So, my question is Can we rule out muscle distrophy and if yes, what may be the other causes?
Thu, 30 Jun 2016
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Pediatrician,  's  Response
Hi...the most important here is to know the neuromuscular development of your baby. at this age your baby should be able to go up and down stairs with one step at a time (like adults). Look whether he is able to get up to a standing position from sitting position without any support. If these parameters are normal then there are no need for screening ( if you don't have any family history of muscle dystrophies).
Now coming to the birth history , what I am interested to know is whether your baby cried immediately after birth or not. if the Apgar score is available in the discharge then you can look at it. Apgar of less than 6 at 1min or 5 min would indicate birth asphyxia, and then we can attribute the floppiness to that. CPK gets hiked in birth asphyxia but that is CPK MB not whole CPK. so recheck the report please. if he had really birth asphyxia then kindly visit and reevaluate from a
pediatric neurologist. Want to inform you that the most common muscular dystrophy I.e Ducchens is extremely rare in girls
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What Causes No Latching In New Born With CPK Of 206?

Hi...the most important here is to know the neuromuscular development of your baby. at this age your baby should be able to go up and down stairs with one step at a time (like adults). Look whether he is able to get up to a standing position from sitting position without any support. If these parameters are normal then there are no need for screening ( if you don t have any family history of muscle dystrophies). Now coming to the birth history , what I am interested to know is whether your baby cried immediately after birth or not. if the Apgar score is available in the discharge then you can look at it. Apgar of less than 6 at 1min or 5 min would indicate birth asphyxia, and then we can attribute the floppiness to that. CPK gets hiked in birth asphyxia but that is CPK MB not whole CPK. so recheck the report please. if he had really birth asphyxia then kindly visit and reevaluate from a pediatric neurologist. Want to inform you that the most common muscular dystrophy I.e Ducchens is extremely rare in girls