Muscle and Nerve 2003-Nov
McArdle's disease presenting as recurrent cryptogenic renal failure due to occult seizures.
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Keywords
Abstract
Myophosphorylase deficiency (McArdle's disease) may present with episodic renal failure following exertion. We present a case of adult-onset myophosphorylase deficiency in which recurrent bouts of renal failure could not be associated with any exertional events until a tonic seizure was witnessed after the fourth episode of renal failure. In the absence of a clear exertional cause for myoglobinuria, an occult seizure disorder should be suspected.