Quiz Form

Question Date: 23/01/2024

Question: Exercise induced rhabdomyolysis can occur in all except

Options:

• Severe Vitamin D deficiency
• Hyperthyroidism
• Hypertriglyceridemia
• Hypothyroidism

Correct Answer: Hypertriglyceridemia

Explaination: Hypothyroidism can lead to mitochondrial dysfunction and carnitine depletion predisposing to exercise induced rhabdomyolysi<br>Less commonly, hyperthyroidism can also lead to exertional rhabdomyolysis<br>Vitamin D deficiency can lead to exercise intolerance, rhabdomyolysis and persistent hyper Ckemia to standard exercise response with good clinical and laboratory response to vitamin D supplementation<br>Statins can result in hyperCkemia to standardized exercise; can unmask underlying genetic metabolic myopathy .

Reference: Continuum : Muscle and Neuromuscular junction disorders (December 2022, Volume 28,no 6) Metabolic myopathies ; page 1754