Discussions By Condition: I cannot get a diagnosis.

Desperate to find a direction.

Posted In: I cannot get a diagnosis. 3 Replies
  • Posted By: naturopathnurse
  • January 22, 2007
  • 06:48 PM

I have a patient that presents as follows. 37 yo male caucasian, happily married. Lifted weights one day, became very fatigue and within 48 hours went into rhabdo. Was admitted to hospital, no permanent damage. They have not been able to find a cause. He has not gone into rhabdo again but he has had significant activity limitations such as SOB, easily fatigue and chest pain that is centered on the muscle on the left side of his heart. All labs are negative, ECG normal, ECHO normal, CXR normal, lung and cardiac exam normal. He has been worked up by Neurology, muscle biopsy normal. When I run my knuckles across his chest he develops a severe burning sensation that , increases in intensity for one minute before it starts to subside. Now its developing more frequent without provocation. And the feeling can be induce in his arm and legs, much much more milder. Any thoughts?
He doesn't sleep (4 hours a night, and has been like that for many years). Drinks 8 cups of coffee daily but has been off coffee for 2 weeks, only drinking decaf.
Thank you.:confused:

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3 Replies:

  • has your pt been on any statin drugs such as Crestor? It has been known to cause rhabdo.
    Anonymous 42789 Replies
    • January 22, 2007
    • 08:08 PM
    • 0
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  • there are also statins in red yeast extract (frequently taken as an alternative to lipitor et al) that will cause the same problems
    Anonymous 42789 Replies
    • January 22, 2007
    • 09:58 PM
    • 0
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  • No statins. No alternative medicines either. His choloestrol panel was elevated when I checked it two weeks ago, but prior to that he never thought he had cholestrol problems. He is 6 feet tall and wieghs about 160-170lbs.
    naturopathnurse 1 Replies
    • January 23, 2007
    • 08:46 PM
    • 0
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