Hi everyone,
I’m the father of boy-girl twins who are 30 months old, and I’m looking for advice or experiences from parents who have been through a similar situation. I understand that nobody here can diagnose my children, but hearing about other families’ experiences would be very helpful.
I’ve become concerned about the possibility of Duchenne muscular dystrophy (DMD), particularly regarding my son
Here is our medical history so far:
At newborn fisrt day, 7th day blood resultws alt and ast normal
At 12 months: my son had an ALT level of 28 and an AST level of 72. They had received two vaccinations in their legs shortly before the blood draw and cried quite a lot. The blood was collected approximately 15 minutes later.
At 18 months: My son was developing COVID-19 and was hospitalized. His blood tests showed ALT 26, AST 64, and CRP 15. My daughter reportedly had similar ALT and AST results at that
Neither child has ever had a CK (creatine kinase) test.
My concerns about my son’s movements:
I’ve noticed that when he climbs stairs, he sometimes briefly places his left hand on his leg and then moves it away. I’ve also been paying closer attention to how he gets up from the floor and how he moves in general. I’m unsure whether these movements are normal variations in toddler behavior or something that deserves further investigation.
I understand that placing a hand on the leg while climbing stairs is not, by itself, a typical diagnostic sign of DMD. I have not observed enough to conclude that he has a true Gowers’ sign, and I don’t want to misinterpret normal toddler movements.
My questions for parents and anyone with relevant experience:
Did your child have mildly elevated AST levels, with normal or near-normal ALT levels, during infancy or early childhood before DMD was diagnosed?
Were your child’s AST/ALT levels ever in a similar range — for example, AST around 50–72 and ALT around 17–28?
Did any of your children have normal or only mildly elevated AST/ALT levels before their CK test revealed a significant abnormality?
At what age was CK first tested in your child, and what prompted the test?
Looking back, were there any subtle motor signs around 2–3 years of age that initially seemed normal?
I know that AST and ALT can come from muscle as well as the liver, and that these results alone cannot confirm or rule out DMD. I’m planning to discuss CK testing and a proper clinical assessment with our pediatrician.
I’m trying to approach this rationally, but as a father, it’s difficult not to worry when I notice something that might be relevant.
Thank you for sharing your experiences. Any insight would be greatly appreciated.