Muscular dystrophies are clinically divided into six types as Duchenne (DMD), Becker (BMD), Limb-girdle (LGMD), Congenital (CMD), Facio-Scapulo-Humeral Muscular dystrophy (FSHMD), distal myopathies and myotonic dystrophy (MD).2
The first male patient (age: 15 years) presented with prominent maxilla, high arched palate and jaw muscle weakness along with lower limbs involvement as a primary weakness subsequently symmetrical and severe involvement of the upper limb girdle and impaired hearing were indicative of FSHMD or LGMD.