Haff disease: From the Baltic Sea to the US shore

Haff disease, identified in Europe in 1924, is unexplained rhabdomyolysis i n a person who ate fish in the 24 hours before onset of illness. We describ e a series of six U.S. patients from 1997 and report new epidemiologic and etiologic aspects. Although Haff disease is traditionally an epidemic foodb orne illness, these six cases occurred in two clusters and as one sporadic case.