Hospital Medicine, University of Florida College of Medicine, Gainesville, Florida, USA
Hospital Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
BMJ Case Rep. 2023 Oct 18;16(10):e255192. doi: 10.1136/bcr-2023-255192.
McArdle disease is a glycogen storage disease that results in rhabdomyolysis during intense exercise. A number of different triggers have been described. We evaluated a patient with McArdle disease who presented with rhabdomyolysis after recreational scuba diving. There was no concern for barotrauma or decompression sickness. His symptoms resolved with standard-of-care management for non-diving-related rhabdomyolysis. Features of his experience provoked questions about the diving-related factors contributing to his presentation. We present the case and explore possible mechanisms of diving-related injury in patients with McArdle disease, including the possible effects of hyperoxia, hyperbaria, hypothermia and strenuous activity.
麦卡德尔病是一种糖原贮积病，在剧烈运动时会导致横纹肌溶解。已经描述了许多不同的触发因素。我们评估了一位麦卡德尔病患者，他在休闲水肺潜水后出现横纹肌溶解。没有气压伤或减压病的担忧。他的症状在接受非潜水相关横纹肌溶解症的标准治疗后得到缓解。他的经历引发了对导致他出现这种情况的潜水相关因素的质疑。我们介绍了这个病例，并探讨了麦卡德尔病患者潜水相关损伤的可能机制，包括高氧、高压、低温和剧烈活动的可能影响。
