81. Case 130 --Neuropathology Case Electron microscopy revealed focal collections of both enlarged mitochondria andglycogen. Serologic testing for connective tissue diseases was negative. http://path.upmc.edu/cases/case130.html

Case 130 Chronic Myalgias After Exercise Contributed by David Lacomis, MD Published on line in January 1998 PATIENT HISTORY: A 48-year-old woman was referred for evaluation of myalgias. She had muscle problems dating to childhood. She tired easily and was unable to keep up with her peers in athletic events. Shortly after beginning to exercise, she experienced weakness and a burning sensation in her muscles. She could not complete assigned running tasks in the allotted time and frequently became nauseated and sometimes vomited after running. She was labeled as a "slacker" because of this behavior. No cola-colored urine was noted during these events. Symptoms improved with rest; however, she also developed myalgias at rest as an adult. Over the past few years, she developed fixed proximal weakness manifest as difficulty combing her hair and climbing stairs, and she had difficulty peddling a bicycle. The myalgias and fatigue interfered with her ability to work in a packaging plant. She also had difficulty sleeping that improved with amitriptyline administration. Previous neurologic evaluations disclosed elevated creatine kinase (CK) levels (two to three times normal) on several occasions. An electromyogram (EMG) of limb muscles was normal. A deltoid muscle biopsy specimen, which was evaluated at a referral center, was interpreted as showing type II muscle fiber atrophy and non-specific changes suggestive of myopathy including subsarcolemmal red staining with Gomori trichrome. Electron microscopy revealed focal collections of both enlarged mitochondria and glycogen. Serologic testing for connective tissue diseases was negative. The thyroid stimulating hormone was minimally elevated.

82. AGSD - UK Site - Type V (c) Dr Ros Quinlivan FRCPCH FRCP. April 200 Neuromuscular Physician, McArdlesDisease Clinic, Robert Jones and Agnes Hunt Hospital, Oswestery, UK. http://www.agsd.org.uk/home/type5.asp

LOW GRAPHICS VERSION HELP Registered Charity No. 327841 Home Email How we can help Join ... About us Thu Jun 3 Send to a friend Printer Friendly Version Glycogen Storage Disease Type V (muscle glycogen phosphorylase deficiency, McArdle disease) McArdle's disease (Glycogen Storage Disease Type V or GSD V) is a rare metabolic myopathy involving the glycolytic pathway. Affected patients are unable to produce myophosphorylase, the enzyme involved in the phosphorolytic cleavage of glycogen to glucose-1-6- phosphate and glucose during anaerobic exercise. The consequence is exercise-induced myalgia and fatigue. The disorder affects all skeletal muscle, a frequently ignored fact by health workers, which results in significant disability. McArdle's disease is a rare metabolic muscle disorder, first described in 1951. The disorder is also known as Glycogen Storage Disease Type V or Phosphorylase Deficiency. Individuals born with McArdle's disease are unable to produce an enzyme known as myophosphorylase, which is important for creating a fuel source for exercise. There are two types of exercise: 1. Aerobic exercise, such as: jogging, cycling and walking.

83. Ingenta: Article Summary -- Molecular Analysis Of Myophosphorylase Deficiency In Molecular Analysis of Myophosphorylase Deficiency in Dutch Patients with McArdle sDisease Annals of Human Genetics January 2003, vol. 68, no. 1, pp. http://www.ingenta.com/isis/searching/ExpandTOC/ingenta?issue=pubinfobike://bsc/

84. Traduci http://www.unict.it/medint/nutrizione.htm

HOME SOMMARIO Infezioni batteriche e micosi Malattie da virus ... Storia della medicina BIBLIOTECA VIRTUALE ON-LINE MALATTIE NUTRIZIONALI E DISMETABOLICHE web editor: Guglielmo M.Trovato Istituto di Medicina Interna e Terapia Medica - Università di Catania - In questa sezione di biblioteca virtuale sono censiti siti con caratteristiche assai diverse: testi, collezioni di immagini, video didattici etc. Per una traduzione on-line si può attivare il traduttore di ALTAVISTA , su cui bisogna riportare, dopo averlo selezionato, il testo che interessa (seleziona col mouse, copia, incolla sul traduttore elettronico, traduci) FDA Center for - (US) IUNS - via Monash (AU) The Nutrition Navigator (rating guide) at Tufts University USDA Nutrient Database for Standard Reference, rel 12

85. MediProsBy? ? ? ? The summary for this Korean page contains characters that cannot be correctly displayed in this language/character set. http://mediprosby.com/Mom/Index.asp?Action=View&Gubun=ency&Idx=618

86. Advanced Search http://www.asktiki.com/search.php

Directory Sitemap Popular New Editor's Pick ... Add URL All words Any word Exact phrase Advanced Search "search the largest alternative health search engine on Earth" Advanced Search at AskTiki Home Advanced Search Search for Links Phrases or Words Type of search AND OR In category Any category Abs Exercises Acetyl-L-carnitine Acidophilus Aerobics Alanine Alfalfa Allergies Resources - Associations - Directories - Food - Latex - Research - Support Groups - Treatments - - Alternative Aloe Vera Alpha-Lipoic Acid Alternative Alternative Health Alternative Health Products and Services - Aromatherapy - - Accessories - - Bodycare Products - - Essential Oils - - - Organic - - Incense - - - Accessories - - - Christian - - - Hand Dipped - - - Indian - - - - Nag Champa - - - Japanese - - - Pagan and Wiccan - - - Powders and Resins - - - Tibetan - Biofeedback - - Brainwave Stimulators - Ear Candles - Energy Healing - - Rife - Fasting and Cleansing - Flower Essences - Herbs - - Accessories - - Aloe - - Ayurveda - - Bulk - - Chinese - - Ginseng - - Kava Kava - - Maca - - Specialty Formulas - - Teas and Tonics - - - Essiac - - - Rooibos - - - Yerba Mate - - Tinctures - - Topical Treatments - Homeopathy - Hypnotherapy - - Tapes and CDs - Life Extension - - Human Growth Hormone - - - Homeopathic - - - Releasers - - Multiple-Product Sites - Magnetic Therapy - - Jewelry - Meditation - - Tapes and Audio Programs - Oxygen and Ozone - Acupuncture - Ayurveda

87. CSAHS - CSLS - Handbook Australia's largest healthcare service, Central Sydney Area Health Service (CSAHS) provides an intricate network of specialty Statewide tertiary referral http://www.cs.nsw.gov.au/csls/handbook/

88. PTontheNET.com - Articles http://www.ptonthenet.com/search_articles.asp

Username : Password : Forgot your password? Articles If PTontheNET.com were a person, Articles would form our spine! We now have almost 800 articles across 14 categories , written by a wide variety of internationally renowned Authors . We release 4-6 new feature pieces every two weeks (plus 15-20 Research Corner responses) Click on the CATEGORIES on the right to search articles by category. Or use the article search function below to search by KEYWORD, AUTHOR, ALPHABETICALLY , or by RELEASE DATE Visitors can view extracts and samples APPLY NOW to become a member. Author : All Authors Aaronson, Naomi Archer, Shirley Barrie, Lou Batman, Paul Bell, Travis Berg, Jason Bird, Stephen Black-Brown, Colleen Bompa, Tudor Brooks, Douglas Brown, Barry Burris, Craig Calder, Angela Cappuccio, Robert Cardwell, Glenn Carey, Anthony Carrera, Mike Cate, Andrew Chek, Paul Cheng, Sharon Chu, Donald Cibrario, Mark Clark, Mike

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