| We present a case study of a person (63 year-old man), who has
been using statins for 18 years, with rhabdomyolysis of the bilateral
adductor muscles associated with strenuous and prolonged eccentric
exercises (hiking) in a hot environment. Clinical examination showed
predominantly on the right side muscle swelling and palpational pain
of the bilateral adductor muscle groups and bilateral tibial edema.
His serum creatine kinase (CK) level was 12218 IU/L. T2-weighted magnetic
resonance (MR) images showed a high signal intensity in the bilateral
adductor muscles of the hip. The patient did not develop complications
and returned to his previous performance level in 30 days following
adequate hydration and resting of the affected muscles. Strenuous
eccentric exercise should be avoided during the course of statin use
and clinicians should be aware of present observations when considering
the significance of acute CK elevations in patients on statin treatment.
KEY
WORDS: Rhabdomyolysis,
muscle damage, statin.
|
