Khamsi Naima, Mendez Melissa D, Rojas-Mendez Patricia, Sanchez Sheralyn, Reddy Sireesha
Texas Tech Health Sciences Center El Paso, Paul L. Foster School of Medicine, Department of Obstetrics and Gynecology, El Paso, Texas.
Texas Tech Health Sciences Center El Paso, Paul L. Foster School of Medicine, Department of Obstetrics and Gynecology, El Paso, Texas.
J Pediatr Adolesc Gynecol. 2018 Dec;31(6):644-647. doi: 10.1016/j.jpag.2018.07.002. Epub 2018 Jul 7.
Rhabdomyolysis can be the result of vigorous physical activity. Typical signs and symptoms at presentation are muscle pain, weakness, or dark colored urine. There is no scientific literature associating rhabdomyolysis with gynecologic signs and symptoms.
We present a case of a 16-year-old girl who presented to our pediatric emergency department with complaints of progressive left vulvar swelling. The patient underwent magnetic resonance imaging, which showed polymyositis in the rectus abdominus, external and internal obliques, and bilateral vastus lateralis muscles. Laboratory evaluation showed elevated liver transaminases, creatine kinase, and myoglobin serum levels.
Exertional rhabdomyolysis is associated with muscular damage after vigorous exercise. This case is an example of a patient with rhabdomyolysis presenting with an unusual external gynecological manifestation, as unilateral labial edema.
横纹肌溶解症可能是剧烈体育活动的结果。发病时的典型体征和症状为肌肉疼痛、无力或深色尿液。尚无科学文献将横纹肌溶解症与妇科体征和症状联系起来。
我们报告一例16岁女孩，她因渐进性左侧外阴肿胀到我院儿科急诊科就诊。患者接受了磁共振成像检查，结果显示腹直肌、腹外斜肌、腹内斜肌和双侧股外侧肌存在多发性肌炎。实验室检查显示肝转氨酶、肌酸激酶和肌红蛋白血清水平升高。
运动性横纹肌溶解症与剧烈运动后的肌肉损伤有关。本病例是一例横纹肌溶解症患者出现不寻常的外部妇科表现，即单侧阴唇水肿的实例。
