A Case of Progressive Muscular Dystrophy

(1) The method of attaining the erect position, similating the climbing method of the Aran Duchenne type. (2) No wasting of the muscles of the hands. Hypertrophy of the biceps in places. (3) The talipes position of the feet, (clawfoot). (4) The position of the back. (Myopathic lordosis). G. M., age 23. Unmarried. Kalat State. Family History.?Father alive, healthy. Mother died after one month's illness. Four brothers died before the patient's birth; one aged one year, one two months, another six months, and the last two years. The cause of death is not known in any case. Past History.?No history of acquired syphilis. Small-pox seven years ago. Two years ago he had "fever" for twenty days which was followed by. the present trouble. Past History of present illness.?After this attack, of "fever" he gradually felt weaker . and weaker. The muscular wasting was preceded by loss of power, the hypertrophy probably hiding the actual degeneration. The weakness first appeared in the muscles of the back, followed by weakness in the thighs, legs and arms simultaneously. There was pain at the onset in the thighs, leg, back, and right arm muscles. This was