McArdle’s disease (GSD type V): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

McArdle’s disease (GSD type V): clinical features. Proximal weakness, Fatigue, Muscle stiffness, Myalgia, Weakness. Fully referenced neurology checklist.

Exercise-induced symptoms

  • Proximal weakness
  • Fatigue:
  • Muscle stiffness
  • Myalgia
  • Weakness
  • Cramps
  • Contractures
  • Myoglobinuria

Second wind phenomenon

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Third wind phenomenon

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Muscle wasting

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Other features

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Differential diagnosis

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Complications

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References

  1. Quinlivan R. McArdle's disease: a clinical review. JNNP 2010; 81:1182-1188.
  2. Hilton-Jones D. McArdle’s disease. Pract Neurol 2001; 1:122-125.
  3. Andersen ST, Duno M, Schwartz M, Vissing J. Do carriers of PYGM mutations have symptoms of McArdle disease? Neurology 2006; 67:716-718.
  4. Lucia A, Martinuzzi A, Nogales-Gadea Get al. Clinical practice guidelines for glycogen storage disease V & VII (McArdle disease and Tarui disease) from an international study group. Neuromuscul Disord 2021; 31:1296-1310.
  5. Scalco RS, Morrow JM, Booth S, Chatfield S, Godfrey R, Quinlivan R. Misdiagnosis is an important factor for diagnostic delay in McArdle disease. Neuromuscul Disord 2017; 27:852-855.

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