Evidence map›Paper›PMID 42595308›Full record

ArticleArquivos de neuro-psiquiatria2026

When to think of genetic causes for rhabdomyolysis? A Brazilian single-center exploratory study.

Aldrin Pedroza Martins, Alberto Rolim Muro Martinez, Anamarli Nucci, Marcondes Cavalcante França Júnior

Abstract read
In one paragraph

Article in Arquivos de neuro-psiquiatria, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Aldrin Pedroza MartinsUniversidade Estadual de Campinas, Faculdade de Ciências Médicas, Departamento de Neurologia, Campinas SP, Brazil.ORCID 0009-0009-1780-9600
Alberto Rolim Muro MartinezUniversidade Estadual de Campinas, Faculdade de Ciências Médicas, Departamento de Neurologia, Campinas SP, Brazil.ORCID 0000-0001-7160-0853
Anamarli NucciUniversidade Estadual de Campinas, Faculdade de Ciências Médicas, Departamento de Neurologia, Campinas SP, Brazil.ORCID 0000-0002-1371-1579
Marcondes Cavalcante França JúniorUniversidade Estadual de Campinas, Faculdade de Ciências Médicas, Departamento de Neurologia, Campinas SP, Brazil.ORCID 0000-0003-0898-2419

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rhabdomyolysis is a potentially life-threatening condition that can result from genetic causes. Despite that, little is known about the genetic underpinnings behind monogenic rhabdomyolysis in Brazil. Objective: To address the frequency and predictive factors for monogenic causes of rhabdomyolysis in a Brazilian series. Methods: Patients presenting with rhabdomyolysis at Universidade Estadual de Campinas (UNICAMP) from April 2024 to October 2025 were selected. Rhabdomyolysis was defined when (1) there was at least 1 episode of creatine kinase (CK) levels ≥ 5x upper limit of normal (ULN) not better explained by exogeneous factors and (2) at least 1 of the RHABDO criteria (R - recurrent episodes of exertional rhabdomyolysis; H - hyperCKemia persisting more than 8 weeks after event; A: accustomed physical exercise; B - blood creatine kinase (CK) > 50x ULN; D - drug ingestion/medication/supplements or other exogenous and endogenous factors cannot sufficiently explain the rhabdomyolysis severity; O - other family members affected / other exertional symptoms [e.g., cramps or myalgia]). was met. A 2-step genetic investigation was undertaken: first a 50-gene panel enriched in metabolic myopathy genes and for those with negative results, whole exome sequencing (WES). Clinical and demographic data of patients with and without gene etiology were then compared. Results: We identified 20 patients, 8 of whom were men, with mean age at the first episode of rhabdomyolysis of 19.5 (2-50) years old. Monogenic etiology was found in 9 of the patients. The associated genes were Conclusion: After properly exclusion of exogenous etiologies, monogenic causes accounted for nearly half of the cases of rhabdomyolysis. Genetic testing should be pursued in those patients with persistent CK elevation, presence of myalgia, objective weakness or parental consanguinity.

Indexed as

RhabdomyolysisAdolescentAdultBrazilChildCreatine KinaseFemaleGenetic Predisposition to DiseaseGenetic TestingHumansMaleMiddle AgedRisk FactorsYoung AdultCreatine Kinase

Identifiers

PMID42595308
PMCPMC13472703

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.