Abstract
Objective: To describe a case report of a patient undergoing follow-up at the neurology outpatient clinic in a pediatric hospital in a city in the state of Pará with the diagnosis of Duchenne Muscular Dystrophy during the years 2018 and 2019. Case details: Male patient, 9 years old, coming from a city in the interior of the state of Pará with a history of difficulty in maintaining orthostasis and delayed neuropsychomotor development, progressing with progressive worsening. During the first consultation, an independent anserine gait, a positive Gowers sign and pseudohypertrophy of the calves were observed. He presented a confirmed diagnosis of Duchenne Muscular Dystrophy through genetic sequencing, started treatment with prednisolone and then associated with ataluren. Final considerations: The availability of laboratory tests and the closing of the diagnosis helped at the beginning of the treatment, providing an initial improvement in motor symptoms, however, the search for late medical help, the shortage of basic health professionals in basic health care in the region, the irregularity of the treatment and abandonment of rehabilitation worsened the patient's condition.