Myoadenylate deaminase deficiency with severe rhabdomyolysis

A 13-year-old Turkish girl was admitted because of recurrent episodes of muscle pain and weakness since the age of 5 years. As an outpatient she developed severe acute rhabdomyolysis (myoglobinuria and increased serum creatine kinase level of 19,000 units/l). The acute rhabdomyolysis and the precedi...

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Veröffentlicht in:European journal of pediatrics 1993-06, Vol.152 (6), p.513-515
Hauptverfasser: BAUMEISTER, F. A. M, GROSS, M, WAGNER, D. R, PONGRATZ, D, EIFE, R
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container_end_page 515
container_issue 6
container_start_page 513
container_title European journal of pediatrics
container_volume 152
creator BAUMEISTER, F. A. M
GROSS, M
WAGNER, D. R
PONGRATZ, D
EIFE, R
description A 13-year-old Turkish girl was admitted because of recurrent episodes of muscle pain and weakness since the age of 5 years. As an outpatient she developed severe acute rhabdomyolysis (myoglobinuria and increased serum creatine kinase level of 19,000 units/l). The acute rhabdomyolysis and the preceding episodes of muscle pain and weakness had been induced by exercise. There was no increase in plasma ammonia level during ischaemic forearm exercise test and bicycle ergometry. Myoadenylate deaminase deficiency was proven both histochemically and biochemically. The girl was found to be homozygous for the C 34-T mutation of the AMPD1 gene causing primary myoadenylate deaminase deficiency in skeletal muscle. Both parents and her brother were heterozygous for that mutation. Myoadenylate deaminase deficiency has to be considered as a cause of severe rhabdomyolysis.
doi_str_mv 10.1007/BF01955062
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A. M</creatorcontrib><creatorcontrib>GROSS, M</creatorcontrib><creatorcontrib>WAGNER, D. R</creatorcontrib><creatorcontrib>PONGRATZ, D</creatorcontrib><creatorcontrib>EIFE, R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BAUMEISTER, F. A. M</au><au>GROSS, M</au><au>WAGNER, D. 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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Adolescent
Ammonia - blood
AMP Deaminase - deficiency
AMP Deaminase - genetics
Biological and medical sciences
DNA Mutational Analysis
Errors of metabolism
Exercise Test
Female
Homozygote
Humans
Medical sciences
Metabolic diseases
Miscellaneous hereditary metabolic disorders
Polymerase Chain Reaction
Rhabdomyolysis - genetics
Rhabdomyolysis - metabolism
Severity of Illness Index
title Myoadenylate deaminase deficiency with severe rhabdomyolysis
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