raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:466650

Exercise-induced malignant hyperthermia

Synonyms: Exertional heat stroke

Type
Disease
Group
Disorder
Inheritance
Multigenic/multifactorial
Age of onset
All ages
Status
active

A rare disease with malignant hyperthermia characterized by exercise-induced life-threatening hyperthermia with a body temperature over 40°C and signs of encephalopathy ranging from confusion to convulsions or coma. Incidence increases with rising ambient temperature and relative humidity. Manifestations may include rhabdomyolysis (presenting with myalgia, muscle weakness, and myoglobinuria), tachycardia, and in severe cases multiorgan failure.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enExercise-induced malignant hyperthermiaExertional heat stroke
frHyperthermie maligne induite par l'exerciceHyperthermie maligne d'effort
deMaligne Hyperthermie, anstrengungsinduzierteHitzeerschöpfung
esHipertermia maligna inducida por el ejercicioGolpe de calor por esfuerzo
itIpertermia maligna indotta dall'esercizio fisico
nlMaligne hyperthermie geïnduceerd door lichaamsbewegingInspanningsgebonden hitteberoerte
ptHipertermia maligna induzida pelo exercício
plHipertermia złośliwa indukowana wysiłkiem fizycznym= en
csZátěžová maligní hypertermieExertional heat stroke · Úpal z námahy
ukЗлоякісна гіпертермія, спричинена фізичним навантаженнямТепловий удар від перенапруження
zh运动诱发的恶性高热劳力性热射病
trEgzersize bağlı habis hipertermiFiziksel zorlayıcı sıcak inmesi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10T88.3NTBTattributedvalidated
ICD-11NF06.0Especificvalidated
MONDO0018752Evalidated
UMLSC5700399Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
RYR1Major susceptibility factor inAssessedHGNC:10483ENSG0000019621818090119q13.2ryanodine receptor 123628358[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET_22538307[PMID]_23476141[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

41 annotations · validated 2021-05-28
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000707Abnormality of the nervous system
HP:0002047Malignant hyperthermia
Frequent (79-30%)
HP:0030850Abnormal pulse pressure
HP:0012378Fatigue
HP:0002315Headache
HP:0002018Nausea
HP:0011703Sinus tachycardia
HP:0002789Tachypnea
HP:0002321Vertigo
Occasional (29-5%)
HP:0005135Abnormal T-wave
HP:0001892Abnormal bleeding
HP:0003256Abnormality of the coagulation cascade
HP:0001251Ataxia
HP:0001289Confusion
HP:0030830Crackles
HP:0001410Decreased liver function
HP:0031258Delirium
HP:0003236Elevated circulating creatine kinase concentration
HP:0003710Exercise-induced muscle cramps
HP:0031284Flushing
HP:0002153Hyperkalemia
HP:0002905Hyperphosphatemia
HP:0002901Hypocalcemia
HP:0012417Hypocapnia
HP:0002615Hypotension
HP:0003128Lactic acidosis
HP:0001254Lethargy
HP:0001324Muscle weakness
HP:0100520Oliguria
HP:0001657Prolonged QT interval
HP:0012250ST segment depression
HP:0001250Seizure
HP:0002013Vomiting
Very rare (<4-1%)
HP:0001919Acute kidney injury
HP:0000970Anhidrosis
HP:0005521Disseminated intravascular coagulation
HP:0000958Dry skin
HP:0002480Hepatic encephalopathy
HP:0001399Hepatic failure
HP:0003201Rhabdomyolysis
HP:0001873Thrombocytopenia

Run the differential on the 2 obligate / very frequent terms

Annotation source: 30725820[PMID]_28128878[PMID]_33190635[PMID]

7

Sources for this card