Discussions By Condition: I cannot get a diagnosis.

Dx of rhabdomyolysis almost missed, d/ced with worrisome labs, no cause found

Posted In: I cannot get a diagnosis. 1 Replies
  • Posted By: dismantled
  • August 26, 2013
  • 04:42 AM

I was diagnosed with rhabdomyolysis on August 22. On August 21, I had CK levels checked as part of routine labs. Levels came back at 1805, but doctor was not concerned. The next day I developed severe muscle pains, weakness, muscle cramping, and fatigue. I am at an eating disorder treatment center, and told the dietitian that now I too was concerned about my CK levels. She asked if I might be having a somatic reaction. I told her I wasn't sure, but that since I am NOT a doctor, I thought I should probably see one. Went to urgent care, then to the ER, CK levels came back at 2100, and I was admitted and diagnosed with rhabdomyolysis.

They treated me acceptably. Pumped me with IV fluids and electrolytes and monitored urine output. However, no one has tried to find the CAUSE or the rhabdomyolysis. I have not exercised strenuously in a few weeks because I have been working on the anorexia nervosa, have been following my meal plan, but have been mildly active, not bedridden. No viral cause found. No medication cause found. No any cause found. Or looked for, really.

My discharge paperwork shows a major improvement, but still worrisome levels. My CK is down to 680, and Ca levels low. My RBC and related counts have dropped significantly as well. On the 21st everything was normal, with RBC being 4.2, Hemoglobin 12.3, Hematocrit 37.9. RBCs are now 3.3, Hemoglobin 10, hematocrit 29.8. Chloride is also slightly elevated. Iron levels have been normal.

I have a history of immune thrombocytopenia. Could there be an autoimmune cause for the rhabdo too? Might they be linked?

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1 Replies:

  • You'd better check for hypothyroidism and diabetes since those can also cause rhabdomyolysis..
    Anonymous 1 Replies Flag this Response
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