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Published on: June 9, 2018
Rhabdomyolysis: a genetic perspective
Renata Siciliani Scalco1,2,3, Alice R Gardiner4, Robert Ds Pitceathly5,6
1MRC Centre for Neuromuscular Diseases and Department of Molecular Neuroscience, University College London (UCL) Institute of Neurology and National Hospital for Neurology and Neurosurgery, London, UK. renata_scalco@hotmail.com.
Abstract:
Rhabdomyolysis (RM) is a clinical emergency characterized by fulminant skeletal muscle damage and release of intracellular muscle components into the blood stream leading to myoglobinuria and, in severe cases, acute renal failure. Apart from trauma, a wide range of causes have been reported including drug abuse and infections. Underlying genetic disorders are also a cause of RM and can often pose a diagnostic challenge, considering their marked heterogeneity and comparative rarity.In this paper we review the range of rare genetic defects known to be associated with RM. Each gene has been reviewed for the following: clinical phenotype, typical triggers for RM and recommended diagnostic approach. The purpose of this review is to highlight the most important features associated with specific genetic defects in order to aid the diagnosis of patients presenting with hereditary causes of recurrent RM.
Insights
Rhabdomyolysis (RM) is a medical emergency from muscle damage. This review highlights rare genetic defects causing RM, aiding diagnosis of hereditary conditions.
Area of Science:
- Biochemistry
- Genetics
- Nephrology
Background:
- Rhabdomyolysis (RM) is a critical condition involving severe skeletal muscle damage and release of myoglobin into the bloodstream.
- While trauma, infections, and drug abuse are common causes, rare genetic disorders also contribute significantly to RM.
- Diagnosing hereditary causes of RM presents challenges due to their heterogeneity and rarity.
Purpose of the Study:
- To review rare genetic defects associated with Rhabdomyolysis (RM).
- To detail the clinical phenotype, RM triggers, and diagnostic approaches for each genetic defect.
- To assist clinicians in diagnosing patients with hereditary recurrent RM by highlighting key features of specific genetic causes.
Main Methods:
- Literature review of rare genetic defects linked to Rhabdomyolysis (RM).
- Analysis of clinical presentation, common triggers, and diagnostic strategies for each identified genetic disorder.
- Synthesis of information to provide a diagnostic aid for hereditary RM.
Main Results:
- Identified a range of rare genetic defects as causes of Rhabdomyolysis (RM).
- Characterized the specific clinical phenotypes and typical RM triggers for each genetic defect.
- Outlined recommended diagnostic pathways for patients with suspected hereditary RM.
Conclusions:
- Rare genetic disorders are an important, albeit often overlooked, cause of Rhabdomyolysis (RM).
- Understanding the specific features of these genetic defects is crucial for accurate and timely diagnosis.
- This review provides a valuable resource for diagnosing hereditary causes of recurrent Rhabdomyolysis (RM).
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