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Volume: 38
Number: 4
Index: December 2010
Clinical Focus:Respiratory Care
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December 2010
Clinical Focus: Respiratory Medicine
  • Asthma and the athlete
    • Vocal cord dysfunction
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    • Obesity and COPD
    • Relationship between COPD and nutrition intake
  • Treatment options for steroid-induced osteoporosis in men
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  • Respiratory infections in winter sports athletes
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  • Airflow function and the metabolic syndrome
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doi: 10.3810/PSM.2021.04.1693
The Physician and Sportsmedicine: Volume 37: No.1
Case Report:
Exercise-Associated Hyponatremia with Rhabdomyolysis During Endurance Exercise
Christopher Ellis, MBBS, MSc, MRCGP, MFSEM; Jennifer Cuthill,MBChB, MRCP, FRCA, EDIC; Tamara Hew-Butler, DPM, PhD; Sajid Melvin George, MD; And Mitchell H. Rosner, MD
Abstract: Exercise-associated hyponatremia (EAH) has been well described in the literature, and its pathogenesis has been elucidated. The most common presenting symptoms of EAH are confusion or severe alterations in mental status. Although rhabdomyolysis in association with hyponatremia has been described in other settings, only 1 case of EAH associated with rhabdomyolysis at presentation has been previously described. In this article, we report on the occurrence of EAH with rhabdomyolysis in 4 athletes participating in the West Highland Way Race, a 95-mile endurance foot race. The pathogenesis of this association is described with implications for therapy.

Keywords: hyponatremia; exercise; rhabdomyolysis

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