Recurrent rhabdomyolysis in a collegiate athlete: a case report.
OBJECTIVE
Hereditary metabolic disorders can cause rhabdomyolysis in athletes. Team physicians should be aware of the presentation, workup, and management of the most common of these disorders, carnitine palmitoyltransferase (CPT) II deficiency and muscle phosphorylase deficiency.


METHODS
The case of a collegiate athlete with recurrent bouts of rhabdomyolysis is presented, and the diagnostic workup is discussed.


RESULTS
The patient described in this case has CPT II deficiency. The diagnosis and management of CPT II deficiency and muscle phosphorylase deficiency (McArdle's disease) are discussed.


CONCLUSIONS
Athletes with rhabdomyolysis, in the absence of an obvious cause such as drug toxicity, severe trauma, or excessive exercise, should be evaluated for the presence of a metabolic myopathy.
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Harvard Medical School, Boston, MA, USA. lkrivickas@partners.org
Lisa S
LS
Krivickas
D000328:Adult; D002334:Carnitine O-Palmitoyltransferase / Q000172:deficiency; D005260:Female; D006012:Glycogen Storage Disease Type V / Q000628:therapy; D006801:Humans; D008404:Massachusetts; D012206:Rhabdomyolysis / Q000175:diagnosis / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy; D013177:Sports
D002334:Carnitine O-Palmitoyltransferase