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NEUROLOGY 1988;38:1271
© 1988 American Academy of Neurology

Neonatal rhabdomyolysis as a presentation of muscular dystrophy

Galen N. Breningstall, MD, Warren D. Grover, MD, Stuart Barbera, MD and Harold G. Marks, MD

Section Child Neurology, Department of Pediatrics, St. Christopher's Hospital for Children, Philadelphia, PA (Drs. Breningstall and Grover)
Department of Pediatrics, St. Christopher's Hospital for Children, Philadelphia, PA (Dr. Barbera)
Child Neurology, A.I. Dupont Institute, Wilmington, DE (Dr. Marks).

We report a unique presentation of X-linked recessive dystrophy as neonatal rhabdomyolysis. There was induration of the proximal musculature in an otherwise well neonate and striking CK elevation, without myoglobinuria. Muscle biopsy at age 1 year showed dystrophic alterations, and X chromosome analysis showed a deletion within or adjacent to the Duchenne/Becker locus.

Address correspondence and reprint requests to Dr. Breningstall, Pediatric Subspecialities, 910 E. 26th Street, Suite 325, Minneapolis, MN 55404.

Received September 21, 1987. Accepted for publication in final form December 29, 1987.






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