Six-Digit CPK and Mildly Affected Renal Function in McArdle Disease

A previously healthy, white 12-year-old girl presented with diffuse body aches and poor perfusion. She developed severe respiratory failure and marked rhabdomyolysis and was mechanically ventilated. Although her CPK peaked at 500,000 IU/L, her renal function was mildly affected and her creatinine di...

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Main Authors: George Spyropoulos, Panagiotis Kratimenos, Andrew D. Mcinnes, Richard J. DeGroote, Ioannis Koutroulis
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2014/704398
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author George Spyropoulos
Panagiotis Kratimenos
Andrew D. Mcinnes
Richard J. DeGroote
Ioannis Koutroulis
author_facet George Spyropoulos
Panagiotis Kratimenos
Andrew D. Mcinnes
Richard J. DeGroote
Ioannis Koutroulis
author_sort George Spyropoulos
collection DOAJ
description A previously healthy, white 12-year-old girl presented with diffuse body aches and poor perfusion. She developed severe respiratory failure and marked rhabdomyolysis and was mechanically ventilated. Although her CPK peaked at 500,000 IU/L, her renal function was mildly affected and her creatinine did not exceed the 0.8 mg/dL. The rhabdomyolysis was gradually resolved following aggressive fluid hydration. The patient did not require dialysis and made a complete recovery. Genetic studies revealed the diagnosis of McArdle disease.
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publishDate 2014-01-01
publisher Wiley
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series Case Reports in Pediatrics
spelling doaj-art-c53d27ca0cfa40dbaa67c6fe7e0931c72025-02-03T05:48:27ZengWileyCase Reports in Pediatrics2090-68032090-68112014-01-01201410.1155/2014/704398704398Six-Digit CPK and Mildly Affected Renal Function in McArdle DiseaseGeorge Spyropoulos0Panagiotis Kratimenos1Andrew D. Mcinnes2Richard J. DeGroote3Ioannis Koutroulis4University of Iowa Children’s Hospital, Iowa City, IA 52242, USASt. Christopher’s Hospital for Children, Drexel University College of Medicine, Philadelphia, PA 19134, USAThe Unterberg Children’s Hospital at Monmouth Medical Center, Drexel University College of Medicine, Long Branch, NJ 07740, USAThe Unterberg Children’s Hospital at Monmouth Medical Center, Drexel University College of Medicine, Long Branch, NJ 07740, USASt. Christopher’s Hospital for Children, Drexel University College of Medicine, Philadelphia, PA 19134, USAA previously healthy, white 12-year-old girl presented with diffuse body aches and poor perfusion. She developed severe respiratory failure and marked rhabdomyolysis and was mechanically ventilated. Although her CPK peaked at 500,000 IU/L, her renal function was mildly affected and her creatinine did not exceed the 0.8 mg/dL. The rhabdomyolysis was gradually resolved following aggressive fluid hydration. The patient did not require dialysis and made a complete recovery. Genetic studies revealed the diagnosis of McArdle disease.http://dx.doi.org/10.1155/2014/704398
spellingShingle George Spyropoulos
Panagiotis Kratimenos
Andrew D. Mcinnes
Richard J. DeGroote
Ioannis Koutroulis
Six-Digit CPK and Mildly Affected Renal Function in McArdle Disease
Case Reports in Pediatrics
title Six-Digit CPK and Mildly Affected Renal Function in McArdle Disease
title_full Six-Digit CPK and Mildly Affected Renal Function in McArdle Disease
title_fullStr Six-Digit CPK and Mildly Affected Renal Function in McArdle Disease
title_full_unstemmed Six-Digit CPK and Mildly Affected Renal Function in McArdle Disease
title_short Six-Digit CPK and Mildly Affected Renal Function in McArdle Disease
title_sort six digit cpk and mildly affected renal function in mcardle disease
url http://dx.doi.org/10.1155/2014/704398
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