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Revue medicale de la Suisse romande 2002-Nov

[One rare case report of acute renal insufficiency in rhabdomyolysis].

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Sandrine Kranck
Philippe Wacker
Nicolas Milliet
Michel Brünisholz

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Abstrè

Mc Ardle's disease is a genetic glycogenosis characterized by the accumulation of glycogen in skeletal muscle secondary to the deficiency of muscle glycogen phosphorylase. The clinical consequences are an exercise intolerance with rapid muscle fatigue and muscle pain combined with a myoglobinuria. We report the medical story of a 45 years old man who suffers from Mc Ardle disease for ten years. He holds his family's doctor because of an oliguria and a weight gain of 5 kg after one week of skiing and one afternoon of gardening. Moreover he complains of quadriceps muscle pains. His urine is orange-red. The supplementary examinations show a rhabdomyolysis and an acute renal failure. The patient benefits of a hemodialysis treatment with a progressive and complete recovery of his renal function after two weeks of treatment.

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