Exertional Rhabdomyolysis

Robert W. Morris, MD; Miller C. Jennings, DO


Appl Radiol. 2019;48(4):36-37. 

In This Article

Case Summary

A 28-year-old female presented to the emergency department with left extremity pain and swelling after recently beginning a workout regimen. She denied fever, chills, or other systemic symptoms. Her only past medical history was hypertension. Physical examination revealed swelling, warmth, and redness of the proximal left upper extremity, with no bruising or deformity. There was no loss of sensation or strength, and her pulses were palpable. Laboratory analysis revealed elevated creatine kinase of 33,912 IU/L (normal <140 IU/L) and elevated urine protein level of 100 mg/dL. The serum creatinine was normal at 0.86 mg/dL. Ultrasound of the left upper extremity veins was performed, which demonstrated no deep venous thrombosis. The patient was admitted to the hospital for intravenous hydration and observation, and MRI of the proximal left upper extremity was performed.