Table 5.

Differential Diagnosis of CHKB-Related Muscular Dystrophy: Metabolic Disorders Associated with Recurrent Rhabdomyolysis

GeneDiseaseMOIFeatures of Differential Diagnosis
Similar to CHKB-MD 1Distinguishing from CHKB-MD
AVADVL Later-onset episodic myopathy w/intermittent rhabdomyolysis (See Very Long-Chain Acyl-Coenzyme A Dehydrogenase Deficiency.)ARMyalgia & weaknessProlonged rhabdomyolysis triggered by exercise, fasting, cold exposure, or fever
CPT2 2Carnitine palmitoyltransferase II deficiency, myopathic formARMyalgia
  • No cardiac involvement
  • No sign of myopathy between attacks
  • Prolonged rhabdomyolysis triggered by exercise, fasting, cold exposure, or stress
PYGM 2Glycogen storage disease type V (McArdle disease)ARMyalgia & weakness
  • No cardiac involvement
  • Exercise-induced rhabdomyolysis
1.

In addition to recurrent rhabdomyolysis

2.

From: CHKB-Related Muscular Dystrophy

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