title: Steinert's syndrome presenting as anal incontinence: a case report.
abstract: BACKGROUND
  Myotonic dystrophy (MD) or Steinert's syndrome is a rare cause of chronic diarrhea and anal incontinence. In the presence of chronic diarrhea and fecal incontinence with muscle weakness, neuromuscular disorders such as myotonic dystrophy should be considered in the differential diagnosis.
  
  
  METHODS
  We present the case of a 45-year-old Turkish man with Steinert's syndrome, who was not diagnosed until the age of 45.
  
  
  CONCLUSIONS
  In clinical practice, the persistence of diarrhea and fecal incontinence with muscle weakness should suggest that the physician perform an anal manometric study and electromyography. Neuromuscular disorders such as myotonic dystrophy should be considered in the differential diagnosis.
authors.affiliation: Istanbul Education and Research Hospital, Department of Internal Medicine, Istanbul, Turkey. aburaktoros@yahoo.com.
authors.forename: Fusun
authors.initials: F
authors.lastname: Erdenen
authors.forename: Ahmet Burak
authors.initials: AB
authors.lastname: Toros
authors.forename: Ayse Kubat
authors.initials: AK
authors.lastname: Uzum
authors.forename: Sirin
authors.initials: S
authors.lastname: Sacak