Korean Journal of Nephrology 1990;9(4):546-549.
급서 뇌경색 환자에서 발생한 Rhabdomylysis에 의한 급성 신부전 1예
유영훈 , 윤경우 , 이현우
Abstract
Rhabdomyolysis means disintegration of striated muscle fibers with excretion of myoglobulin in urine. The role of traumatic rhabdomyolysis and myog- lobinuria in acute renal failure was first recognized by Bywater and Beall during World War II. Since then there has been an increasing evidence that not only trauma but also nontraumatic causes can damage mus- cle to such an extent that serious sequellae to other tissue and organs may ensue. Recently, the authors experienced a case of acute renal failure due to rhabdomyolysis in a 60-year-old male patient with cerebral infarction. He had muscle pain, weakness and swelling of right thigh which were characteristic of rhaMomyolysis. The cause of rhab- domyolysis in this case is probably due to compression and heat injury of right thigh. Acute renal failure was sucessfully treated by 7 times of hemodialysis and supportive medical care. After recovery of ARF he was transferred to department of Neurology for the treat- ment of cerebral infarction and physiotherapy of right thigh weakness. In conclusion, we report a case of acute renal failure due to rhaMomyolysis in a 60-year-old male patient with cerebral infarction with review of the literature.
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