<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2025000500003</article-id>
<article-id pub-id-type="doi">10.24875/ciru.24000236</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[A retrospective evaluation of delayed diagnosis and misdiagnosis in skeletal muscle ion channelopathy patients]]></article-title>
<article-title xml:lang="es"><![CDATA[Evaluación retrospectiva del diagnóstico tardío y del diagnóstico erróneo en pacientes con canalopatía iónica del músculo esquelético]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Turken]]></surname>
<given-names><![CDATA[Askeri]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Gazi Ya&#351;argil Education and Research Hospital Department of Physical Medicine and Rehabilitation ]]></institution>
<addr-line><![CDATA[Diyarbakir ]]></addr-line>
<country>Turkey</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2025</year>
</pub-date>
<volume>93</volume>
<numero>5</numero>
<fpage>483</fpage>
<lpage>491</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2025000500003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2025000500003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2025000500003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: Skeletal muscle ion channelopathies are a rare genetically inherited orphan disease. Due to the unique characteristics of the symptoms of the disease, misdiagnosis of patients leads to irreversible losses. This study aims to raise awareness on this issue.  Methods: 35 patients with a definitive diagnosis of skeletal muscle ion channelopathy were included in the study. The diagnoses of all patients were confirmed by gene analysis. Demographic and clinical characteristics of the patients were examined. After a definitive diagnosis was made, mimic symptoms and misdiagnoses were evaluated separately.  Results: It was determined that 30 of the patients included in the study had multiple different diagnoses until they got the correct diagnosis. It is thought that due to delayed diagnosis or misdiagnosis, patients experience physical and mental loss, are exposed to ineffective drugs, and their daily lives are adversely affected, as well as serious cost losses.  Conclusions: It is stated that the names of misdiagnoses for imitation symptoms have changed with aging, and drug treatments are applied for each diagnosis. It is stated that health authorities should pay attention to this situation to reduce this.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: La canalopatía iónica del músculo esquelético es una enfermedad huérfana rara que se hereda genéticamente. Debido a las características únicas de los síntomas de la enfermedad, el diagnóstico erróneo de los pacientes conduce a pérdidas irreversibles. Este estudio pretende concienciar sobre esta cuestión.  Métodos: Se incluyeron en el estudio 35 pacientes con diagnóstico definitivo de canalopatía iónica del músculo esquelético. El diagnóstico de todos los pacientes se confirmó mediante análisis genético. Se examinaron las características demográficas y clínicas de los pacientes. Una vez realizado el diagnóstico definitivo, se evaluaron por separado los síntomas mímicos y los diagnósticos erróneos.  Resultados: Se determinó que 30 de los pacientes incluidos en el estudio tuvieron múltiples diagnósticos diferentes hasta que obtuvieron el diagnóstico correcto. Se cree que, debido al retraso en el diagnóstico o a los diagnósticos erróneos, los pacientes experimentan pérdidas físicas y mentales, están expuestos a fármacos ineficaces y su vida cotidiana se ve afectada negativamente, además de graves pérdidas de costes.  Conclusiones: Los diagnósticos erróneos realizados por síntomas mímicos cambian con la edad del paciente, es decir, se realizan diferentes diagnósticos según la edad del paciente, y se aplican tratamientos farmacológicos para cada diagnóstico. Se afirma que las autoridades sanitarias deberían prestar atención a esta situación para reducirla.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Channelopathy]]></kwd>
<kwd lng="en"><![CDATA[Mimic symptoms]]></kwd>
<kwd lng="en"><![CDATA[Delay in diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Primary diagnosis]]></kwd>
<kwd lng="es"><![CDATA[Canalopatía]]></kwd>
<kwd lng="es"><![CDATA[Síntomas mímicos]]></kwd>
<kwd lng="es"><![CDATA[Retraso en el diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[Diagnóstico primario]]></kwd>
</kwd-group>
</article-meta>
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