McArdle's disease is a hereditary, metabolic myopathy characterized by
weakness and muscle cramps after exercise, appearing mostly in the se
cond or third decade of life. Due to myophosphorylase deficiency in sk
eletal muscle, glycogen cannot he used and deposited in the sarcolemma
l spaces, leading to lack of endurance to sustained work. The ischemic
exercise test is a screening procedure for muscle energy disorders, a
nd the diagnosis is confirmed by reduced enzyme activity in muscle bio
psy. In this report, a family with one child having enzyme assay-prove
n McArdle's disease and two other children demonstrating a positive is
chemic exercise test is presented.