McArdle disease and pregnancy: A case report and scoping review of pregnancy outcomes

Author:

Nash Christopher M1ORCID,Shetty Nabha2,Miller Ashley2,McCoy Kyle2

Affiliation:

1. Department of Obstetrics & Gynaecology, Dalhousie University, Halifax, NS, Canada

2. Division of General Internal Medicine, Department of Medicine, Dalhousie University, Halifax, NS, Canada

Abstract

McArdle disease is an autosomal recessive disorder affecting skeletal muscle glycogen metabolism. Limited data are available regarding pregnancy outcomes with this genetic condition. We present a recent case of a woman with McArdle disease, along with a scoping review of all published literature regarding pregnancy and delivery outcomes for women with McArdle disease. A total of 35 cases are summarised. Overall, pregnancy does not worsen or increase the risk for disease flare. Women can successfully deliver vaginally, with consideration of an assisted second stage recommended to reduce the risk of postpartum rhabdomyolysis.

Publisher

SAGE Publications

Subject

Obstetrics and Gynaecology

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