Case report: exercise-associated hyponatremia with rhabdomyolysis during endurance exercise.
Exercise-associated hyponatremia (EAH) has been well described in the literature, and its pathogenesis has been elucidated. The most common presenting symptoms of EAH are confusion or severe alterations in mental status. Although rhabdomyolysis in association with hyponatremia has been described in other settings, only 1 case of EAH associated with rhabdomyolysis at presentation has been previously described. In this article, we report on the occurrence of EAH with rhabdomyolysis in 4 athletes participating in the West Highland Way Race, a 95-mile endurance foot race. The pathogenesis of this association is described with implications for therapy.
Ellis
Christopher
C
Kinlochleven Medical Pratice, Scotland.
Cuthill
Jennifer
J
Hew-Butler
Tamara
T
George
Sajid Melvin
SM
Rosner
Mitchell H
MH
D000328:Adult; D004232:Diuretics / Q000627:therapeutic use; D005260:Female; D005440:Fluid Therapy / Q000379:methods; D005665:Furosemide / Q000627:therapeutic use; D006801:Humans; D007010:Hyponatremia / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010807:Physical Endurance; D012206:Rhabdomyolysis / Q000209:etiology* / Q000628:therapy; D012420:Running
D004232:Diuretics; D005665:Furosemide