Adolescent with Rhabdomyolysis due to Undiagnosed Hypothyroidism

Exercise-induced rhabdomyolysis has been described in military recruits, trained athletes and daily runners. Statin use, quail ingestion, infection by Epstein-Barr virus (EBV), and hypothyroidism, though rare, are risk factors for the development of rhabdomyolysis. We describe the case of a 15-year-...

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Main Authors: Raquel Farias Moeller, Nassim Zecavati, Rosa Sherafat-Kazemzadeh, Shoshana Aleinikoff, Wolfgang Rennert
Format: Article
Language:English
Published: Hindawi Limited 2011-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2011/670673
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spelling doaj-e1fb9771d7bd4eeaae461c5b0063ee5d2020-11-24T22:28:08ZengHindawi LimitedCase Reports in Pediatrics2090-68032090-68112011-01-01201110.1155/2011/670673670673Adolescent with Rhabdomyolysis due to Undiagnosed HypothyroidismRaquel Farias Moeller0Nassim Zecavati1Rosa Sherafat-Kazemzadeh2Shoshana Aleinikoff3Wolfgang Rennert4Department of Pediatrics, Georgetown University Hospital Medical Center, Washington, DC, USADivision of Neurology, Georgetown University Hospital Medical Center, Washington, DC, USADivision of Endocrinology and Metabolism, Georgetown University Hospital Medical Center, Washington, DC, USADepartment of Pediatrics, Georgetown University Hospital Medical Center, Washington, DC, USADepartment of Pediatrics, Georgetown University Hospital Medical Center, Washington, DC, USAExercise-induced rhabdomyolysis has been described in military recruits, trained athletes and daily runners. Statin use, quail ingestion, infection by Epstein-Barr virus (EBV), and hypothyroidism, though rare, are risk factors for the development of rhabdomyolysis. We describe the case of a 15-year-old female who presented with myalgias, weakness, and pigmenturia following marching band practice. Laboratory tests confirmed an elevated creatine kinase (CK) level as well as a profound hypothyroid state. Muscle biopsy revealed severe muscle necrosis and myositis. Treatment with levothyroxine resulted in obtaining an euthyroid state and regain of muscle strength as well as decrease in CK levels. Although rare, hypothyroidism should be considered as a potential cause of rhabdomyolysis in pediatric patients undergoing a myopathy workup.http://dx.doi.org/10.1155/2011/670673
collection DOAJ
language English
format Article
sources DOAJ
author Raquel Farias Moeller
Nassim Zecavati
Rosa Sherafat-Kazemzadeh
Shoshana Aleinikoff
Wolfgang Rennert
spellingShingle Raquel Farias Moeller
Nassim Zecavati
Rosa Sherafat-Kazemzadeh
Shoshana Aleinikoff
Wolfgang Rennert
Adolescent with Rhabdomyolysis due to Undiagnosed Hypothyroidism
Case Reports in Pediatrics
author_facet Raquel Farias Moeller
Nassim Zecavati
Rosa Sherafat-Kazemzadeh
Shoshana Aleinikoff
Wolfgang Rennert
author_sort Raquel Farias Moeller
title Adolescent with Rhabdomyolysis due to Undiagnosed Hypothyroidism
title_short Adolescent with Rhabdomyolysis due to Undiagnosed Hypothyroidism
title_full Adolescent with Rhabdomyolysis due to Undiagnosed Hypothyroidism
title_fullStr Adolescent with Rhabdomyolysis due to Undiagnosed Hypothyroidism
title_full_unstemmed Adolescent with Rhabdomyolysis due to Undiagnosed Hypothyroidism
title_sort adolescent with rhabdomyolysis due to undiagnosed hypothyroidism
publisher Hindawi Limited
series Case Reports in Pediatrics
issn 2090-6803
2090-6811
publishDate 2011-01-01
description Exercise-induced rhabdomyolysis has been described in military recruits, trained athletes and daily runners. Statin use, quail ingestion, infection by Epstein-Barr virus (EBV), and hypothyroidism, though rare, are risk factors for the development of rhabdomyolysis. We describe the case of a 15-year-old female who presented with myalgias, weakness, and pigmenturia following marching band practice. Laboratory tests confirmed an elevated creatine kinase (CK) level as well as a profound hypothyroid state. Muscle biopsy revealed severe muscle necrosis and myositis. Treatment with levothyroxine resulted in obtaining an euthyroid state and regain of muscle strength as well as decrease in CK levels. Although rare, hypothyroidism should be considered as a potential cause of rhabdomyolysis in pediatric patients undergoing a myopathy workup.
url http://dx.doi.org/10.1155/2011/670673
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