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Rhabdomyolysis, susceptibility to, 1(RHABDO1)

MedGen UID:
1824080
Concept ID:
C5774307
Finding
Synonym: RHABDO1
 
Gene (location): OBSCN (1q42.13)
 
Monarch Initiative: MONDO:0859371
OMIM®: 620235

Definition

Susceptibility to rhabdomyolysis-1 (RHABDO1) is an autosomal recessive disorder characterized by recurrent episodes of rhabdomyolysis beginning in the teenage years. Some of the episodes may be triggered by exercise or heat; others occur spontaneously. Severe cases may result in acute renal failure or compartment syndrome. Affected individuals tend to have myalgia or muscle weakness in childhood and between episodes. Laboratory studies show increased serum creatine kinase and nonspecific myopathic features on skeletal muscle biopsy (Cabrera-Serrano et al., 2022). [from OMIM]

Clinical features

From HPO
Myalgia
MedGen UID:
68541
Concept ID:
C0231528
Sign or Symptom
Pain in muscle.
Exercise intolerance
MedGen UID:
603270
Concept ID:
C0424551
Finding
A functional motor deficit where individuals whose responses to the challenges of exercise fail to achieve levels considered normal for their age and gender.
Renal insufficiency
MedGen UID:
332529
Concept ID:
C1565489
Disease or Syndrome
A reduction in the level of performance of the kidneys in areas of function comprising the concentration of urine, removal of wastes, the maintenance of electrolyte balance, homeostasis of blood pressure, and calcium metabolism.
Rhabdomyolysis
MedGen UID:
19775
Concept ID:
C0035410
Pathologic Function
Breakdown of muscle fibers that leads to the release of muscle fiber contents (myoglobin) into the bloodstream.
Distal muscle weakness
MedGen UID:
140883
Concept ID:
C0427065
Finding
Reduced strength of the musculature of the distal extremities.
Centrally nucleated skeletal muscle fibers
MedGen UID:
330782
Concept ID:
C1842170
Finding
An abnormality in which the nuclei of sarcomeres take on an abnormally central localization (or in which this feature is found in an increased proportion of muscle cells).
Increased variability in muscle fiber diameter
MedGen UID:
336019
Concept ID:
C1843700
Finding
An abnormally high degree of muscle fiber size variation. This phenotypic feature can be observed upon muscle biopsy.
Type 2 muscle fiber predominance
MedGen UID:
478817
Concept ID:
C3277187
Finding
An abnormal predominance of type II muscle fibers (in general, this feature can only be observed on muscle biopsy).
Elevated circulating creatine kinase concentration
MedGen UID:
69128
Concept ID:
C0241005
Finding
An elevation of the level of the enzyme creatine kinase (also known as creatine phosphokinase (CK; EC 2.7.3.2) in the blood. CK levels can be elevated in a number of clinical disorders such as myocardial infarction, rhabdomyolysis, and muscular dystrophy.
Abnormal circulating acylcarnitine concentration
MedGen UID:
1684872
Concept ID:
C5139063
Finding
Any deviation from the normal concentration in the blood circulation of an acylcarnitine, which is produced by reversible esterification of the 3-hydroxyl group of carnitine.

Professional guidelines

PubMed

Gupta N, Nusbaum J
Emerg Med Pract 2020 Dec 1;22(Suppl 12):1-2. PMID: 33259708
Witting N, Laforêt P, Voermans NC, Roux-Buisson N, Bompaire F, Rendu J, Duno M, Feillet F, Kamsteeg EJ, Poulsen NS, Dahlqvist JR, Romero NB, Fauré J, Vissing J, Behin A
Acta Neurol Scand 2018 May;137(5):452-461. Epub 2017 Dec 29 doi: 10.1111/ane.12885. PMID: 29635721
Vrablik M, Zlatohlavek L, Stulc T, Adamkova V, Prusikova M, Schwarzova L, Hubacek JA, Ceska R
Physiol Res 2014;63(Suppl 3):S327-34. doi: 10.33549/physiolres.932865. PMID: 25428737

Recent clinical studies

Etiology

Kalil AC, Thomas PG
Crit Care 2019 Jul 19;23(1):258. doi: 10.1186/s13054-019-2539-x. PMID: 31324202Free PMC Article
Carr DF, Francis B, Jorgensen AL, Zhang E, Chinoy H, Heckbert SR, Bis JC, Brody JA, Floyd JS, Psaty BM, Molokhia M, Lapeyre-Mestre M, Conforti A, Alfirevic A, van Staa T, Pirmohamed M
Clin Pharmacol Ther 2019 Dec;106(6):1353-1361. Epub 2019 Jul 31 doi: 10.1002/cpt.1557. PMID: 31220337Free PMC Article
Piekutowska-Abramczuk D, Olsen RK, Wierzba J, Popowska E, Jurkiewicz D, Ciara E, Ołtarzewski M, Gradowska W, Sykut-Cegielska J, Krajewska-Walasek M, Andresen BS, Gregersen N, Pronicka E
J Inherit Metab Dis 2010 Dec;33 Suppl 3:S373-7. Epub 2010 Sep 3 doi: 10.1007/s10545-010-9190-7. PMID: 20814823
Rosenberg H, Davis M, James D, Pollock N, Stowell K
Orphanet J Rare Dis 2007 Apr 24;2:21. doi: 10.1186/1750-1172-2-21. PMID: 17456235Free PMC Article
Schachter M
Fundam Clin Pharmacol 2005 Feb;19(1):117-25. doi: 10.1111/j.1472-8206.2004.00299.x. PMID: 15660968

Diagnosis

Gupta N, Nusbaum J
Emerg Med Pract 2020 Dec 1;22(Suppl 12):1-2. PMID: 33259708
Kalil AC, Thomas PG
Crit Care 2019 Jul 19;23(1):258. doi: 10.1186/s13054-019-2539-x. PMID: 31324202Free PMC Article
Carr DF, Francis B, Jorgensen AL, Zhang E, Chinoy H, Heckbert SR, Bis JC, Brody JA, Floyd JS, Psaty BM, Molokhia M, Lapeyre-Mestre M, Conforti A, Alfirevic A, van Staa T, Pirmohamed M
Clin Pharmacol Ther 2019 Dec;106(6):1353-1361. Epub 2019 Jul 31 doi: 10.1002/cpt.1557. PMID: 31220337Free PMC Article
Rosenberg H, Pollock N, Schiemann A, Bulger T, Stowell K
Orphanet J Rare Dis 2015 Aug 4;10:93. doi: 10.1186/s13023-015-0310-1. PMID: 26238698Free PMC Article
Rosenberg H, Davis M, James D, Pollock N, Stowell K
Orphanet J Rare Dis 2007 Apr 24;2:21. doi: 10.1186/1750-1172-2-21. PMID: 17456235Free PMC Article

Therapy

Gupta N, Nusbaum J
Emerg Med Pract 2020 Dec 1;22(Suppl 12):1-2. PMID: 33259708
Kalil AC, Thomas PG
Crit Care 2019 Jul 19;23(1):258. doi: 10.1186/s13054-019-2539-x. PMID: 31324202Free PMC Article
Carr DF, Francis B, Jorgensen AL, Zhang E, Chinoy H, Heckbert SR, Bis JC, Brody JA, Floyd JS, Psaty BM, Molokhia M, Lapeyre-Mestre M, Conforti A, Alfirevic A, van Staa T, Pirmohamed M
Clin Pharmacol Ther 2019 Dec;106(6):1353-1361. Epub 2019 Jul 31 doi: 10.1002/cpt.1557. PMID: 31220337Free PMC Article
Rosenberg H, Davis M, James D, Pollock N, Stowell K
Orphanet J Rare Dis 2007 Apr 24;2:21. doi: 10.1186/1750-1172-2-21. PMID: 17456235Free PMC Article
Schachter M
Fundam Clin Pharmacol 2005 Feb;19(1):117-25. doi: 10.1111/j.1472-8206.2004.00299.x. PMID: 15660968

Prognosis

Hoppe K, Jurkat-Rott K, Kranepuhl S, Wearing S, Heiderich S, Merlak S, Klingler W
Sci Rep 2021 Feb 9;11(1):3445. doi: 10.1038/s41598-021-82024-7. PMID: 33564012Free PMC Article
Witting N, Laforêt P, Voermans NC, Roux-Buisson N, Bompaire F, Rendu J, Duno M, Feillet F, Kamsteeg EJ, Poulsen NS, Dahlqvist JR, Romero NB, Fauré J, Vissing J, Behin A
Acta Neurol Scand 2018 May;137(5):452-461. Epub 2017 Dec 29 doi: 10.1111/ane.12885. PMID: 29635721
Deng L, Jia R, Li W, Xue Q, Liu J, Miao Y, Wang J
Medicine (Baltimore) 2017 Dec;96(51):e9458. doi: 10.1097/MD.0000000000009458. PMID: 29390582Free PMC Article
Piekutowska-Abramczuk D, Olsen RK, Wierzba J, Popowska E, Jurkiewicz D, Ciara E, Ołtarzewski M, Gradowska W, Sykut-Cegielska J, Krajewska-Walasek M, Andresen BS, Gregersen N, Pronicka E
J Inherit Metab Dis 2010 Dec;33 Suppl 3:S373-7. Epub 2010 Sep 3 doi: 10.1007/s10545-010-9190-7. PMID: 20814823
Bottorff M
Atherosclerosis 1999 Sep 9;147 Suppl 1:S23-30. doi: 10.1016/s0021-9150(99)00252-x. PMID: 10575059

Clinical prediction guides

van den Bersselaar LR, van Alfen N, Kruijt N, Kamsteeg EJ, Fernandez-Garcia MA, Treves S, Riazi S, Yang CY, Malagon I, van Eijk LT, van Engelen BGM, Scheffer GJ, Jungbluth H, Snoeck MMJ, Voermans NC
J Neuromuscul Dis 2023;10(4):541-554. doi: 10.3233/JND-230018. PMID: 37154182Free PMC Article
Hoppe K, Jurkat-Rott K, Kranepuhl S, Wearing S, Heiderich S, Merlak S, Klingler W
Sci Rep 2021 Feb 9;11(1):3445. doi: 10.1038/s41598-021-82024-7. PMID: 33564012Free PMC Article
Lawal TA, Todd JJ, Witherspoon JW, Bönnemann CG, Dowling JJ, Hamilton SL, Meilleur KG, Dirksen RT
Skelet Muscle 2020 Nov 16;10(1):32. doi: 10.1186/s13395-020-00243-4. PMID: 33190635Free PMC Article
Vrablik M, Zlatohlavek L, Stulc T, Adamkova V, Prusikova M, Schwarzova L, Hubacek JA, Ceska R
Physiol Res 2014;63(Suppl 3):S327-34. doi: 10.33549/physiolres.932865. PMID: 25428737
Piekutowska-Abramczuk D, Olsen RK, Wierzba J, Popowska E, Jurkiewicz D, Ciara E, Ołtarzewski M, Gradowska W, Sykut-Cegielska J, Krajewska-Walasek M, Andresen BS, Gregersen N, Pronicka E
J Inherit Metab Dis 2010 Dec;33 Suppl 3:S373-7. Epub 2010 Sep 3 doi: 10.1007/s10545-010-9190-7. PMID: 20814823

Recent systematic reviews

Ghatak A, Faheem O, Thompson PD
Atherosclerosis 2010 Jun;210(2):337-43. Epub 2009 Nov 27 doi: 10.1016/j.atherosclerosis.2009.11.033. PMID: 20042189

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