• “Normal pregnancy and successful delivery in myophosphorylase deficiency (McArdle’s disease)” - J Neurol Neurosurg Psychiatry. 1973 April; 36(2): 225–227.
  Note: this article, published 35 years ago in 1973, suggests that it is not unreasonable to expect a normal pregnancy and delivery for mothers with McArdle’s disease.
• “McArdle’s Disease, Postsurgical Risks Associated with Anesthesia – Implications in Postsurgical Recovery” - By Christine Cadena, published Aug 11, 2008, Associated Content
  Note: in the event of cesarean childbirth, care should be taken to manage the symptoms of McArdle’s disease that may be affected by the administration of anesthesia.  There is presently no consensus opinion that McArdle’s disease is exacerbated by anesthesia, but this article and others contain noteworthy observations.

There may in fact be an adult-onset form of McArdle’s disease. I also suspect that many newly-diagnosed adults have lived with the disease their entire lives and simply gone without diagnosis, “toughing it out”. (In another article, I talk about how children with McArdle’s disease in particular are particularly vulnerable.)

A concerted campaign to educate grade school gym teachers, pediatricians and health care professionals about McArdle’s disease could spare many people the punishment of trying to force their bodies to do things they simply weren’t equipped to do. This may enable them to participate in alternate activities tailored to their unique condition, and improve their health later in life as a result through earlier proactive management of the disease.

Ultimately the question of whether or not there is an adult-onset form of McArdle’s is probably not as important as is education and information. The more people know about McArdle’s disease, the less likely it is that children and adults who remain undiagnosed will suffer and live with unanswered questions.  Your feedback on this topic is welcome.