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Facial muscle disease

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The age of onset, progression, and severity of facioscalpulohumeral muscular dystrophy FSHD vary a great deal. Usually, symptoms develop during the teen years, with most people noticing some problems by age 20, although weakness in some muscles can begin as early as infancy and as late as the 50s. In some people, the disease can be so mild that no symptoms are noticed. In these cases, the disease may be diagnosed only after another, more affected member of the family comes to medical attention. People with FSHD often do not go to the doctor until their shoulder or leg muscles become involved and they experience difficulty reaching over their heads or going up and down stairs. When questioned closely, many people can remember having symptoms in childhood, such as shoulder blades that stuck out or trouble throwing a ball.
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Facioscapulohumeral Muscular Dystrophy (FSH, FSHD)

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Dysarthria - Symptoms and causes - Mayo Clinic

Muscle twitches are brief, painless, involuntary movements of parts of muscles. Some are visible under the skin, others are just felt. Disorders affecting any part of the nervous system that controls movement, or the muscles themselves, can result in muscle twitches. While some of these are serious and even life-threatening, it is important to note that common, harmless conditions may also cause muscle twitches.
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Facial Masking

Muscle disease , any of the diseases and disorders that affect the human muscle system. Diseases and disorders that result from direct abnormalities of the muscles are called primary muscle diseases; those that can be traced as symptoms or manifestations of disorders of the nervous system or other systems are not properly classified as primary muscle diseases. Because muscles and nerves neurons supplying muscle operate as a functional unit, disease of both systems results in muscular atrophy wasting and paralysis. Muscular atrophy and weakness are among the most common indications of muscle disease see below Muscle weakness. Though the degree of weakness is not necessarily proportional to the amount of wasting, it usually is so if there is specific involvement of nerve or muscle.
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These disorders can cause your muscles to become weak and waste away. You may also have symptoms such as spasms, twitching, and pain. There can be different causes for these diseases.

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