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A muscular dystrophy characterised by weakness of facial, scapulohumeral, pelvic girdle, and anterior tibial muscles. refl.in/kt Cardiac muscle involvement is unusual, as is the presence of elevated serum creatine kinase. Response to non-depolarising muscle relaxants is not necessarily prolonged. #ref

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Avoid suxamethonium in this patient population as they are at risk of hyperkalemia following depolarisation. refl.in/ku

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Lower dose on non-depolarising muscle relaxants NDMR may be required, although there are only a few case reports in the literature. Monitor with nerve stimulator. refl.in/ku

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