title: Spinning-induced Rhabdomyolysis: Eleven Case Reports and Review of the Literature.
abstract: Non-traumatic exertional rhabdomyolysis (exRML) occurs in individuals with normal muscles when the energy supplied to the muscle is insufficient. Here, we report 11 cases of spinning-induced rhabdomyolysis and review related literature. Spinning is a kind of indoor bicycle sport. The 11 patients who were diagnosed with exRML and admitted to CHA Bundang Medical Center were female and their ages ranged from 15 to 46 years. Two to three days prior to the presentation, the patients had attended a spinning class for the first time. All the patients had been otherwise healthy without any known medical illnesses. They were successfully treated without any complications, except mild non-symptomatic hypocalcemia. However, in the literature, severe complications such as compartment syndrome or acute kidney injury had been reported in relation to exRML including spinning-induced rhabdomyolysis. This spinning exercise needs prior guidelines and specific warnings to prevent exertional rhabdomyolysis.
authors: Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Korea.
authors: Daejin
authors: D
authors: Kim
authors: Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Korea.
authors: Eun-Jung
authors: EJ
authors: Ko
authors: Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Korea.
authors: HyeJeong
authors: H
authors: Cho
authors: Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Korea.
authors: Su Hyung
authors: SH
authors: Park
authors: Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Korea.
authors: Sang Hwan
authors: SH
authors: Lee
authors: Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Korea.
authors: Nam-Gil
authors: NG
authors: Cho
authors: Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Korea.
authors: So-Young
authors: SY
authors: Lee
authors: Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Korea.
authors: Hye Yun
authors: HY
authors: Jeong
authors: Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Korea.
authors: Dong Ho
authors: DH
authors: Yang
keywords: Creatine phosphokinase; Non-traumatic exertional rhabdomyolysis; Spinning