Download Exercise-Induced Acute Renal Failure: Acute Renal Failure by Isao Ishikawa PDF

By Isao Ishikawa

Acute renal failure brought about by means of rhabdomyolysis after strenuous, lengthy workout comparable to marathon operating or climbing is a well known clinical phenomenon, yet exercise-induced acute renal failure after momentary anaerobic workout - for example, short-distance song races - has been well-known just recently. This monograph presents in-depth details on exercise-induced acute renal failure after non permanent anaerobic workout, which factors critical ache within the loin and patchy renal ischemia with out signal of rhabdomyolysis. half the sufferers being affected by this situation adventure renal hypouricemia, for which nearly 20% are taken care of with dialysis. this whole scientific reference booklet comprises features of the sickness, prognosis, therapy and diagnosis, and corresponding preventive measures. vital info on gene research and etiology can also be integrated, making a invaluable source for nephrologists in addition to for emergency physicians and people within the box of activities medication.

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Extra info for Exercise-Induced Acute Renal Failure: Acute Renal Failure with Severe Loin Pain and Patchy Renal Ischemia after Anaerobic Exercise

Sample text

His creatine phosphokinase (CPK) level was normal. 58 mg/dl, a contrast medium was administered. A delayed computed tomography (CT) scan after 24 and 48 h confirmed patchy wedge-shaped contrast enhancement (Fig. 58). Under a diagnosis of ALPE, his body water balance (hydration) was controlled. 6 mg/dl, respectively. Furthermore, load tests with a uric acid reabsorption inhibitor (benzbromarone) and a uric acid excretion inhibitor (pyrazinamide) suggested presecretory reabsorption defect-related renal hypouricemia.

Clinical findings in our 22 patients with exercise-induced acute renal failure (ALPE) Patient No. 5 8 Patchy / 24 Exercise-Induced Acute Renal Failure Table 3. Continued Patient No. 7 − , Taken before exercise UOsm (mOsm/l), UNa (mEq/l) CT, computed tomography; ARF, acute renal failure / Our Series (22 Patients) 25 Serum myoglobin (ng/ml) CPK (U/l) Myoglobinuria Kidney biopsy Hypouricemia 88 292 − + − / 274 / 1650 / − − − − − 90 42 − − − 100 35 85 998 1323 250 − − − − + + − − + / 73 / + + 120 930 − − − / / / − − / / / − − 70 52 − − − 40 / 49 116 / 312 − − − − − − − − − 67 329 − − − 75 67 696 242 − − − + − + 420 47 / 355 530 428 − − − − − − − − + / 459 − − − 26 Exercise-Induced Acute Renal Failure (Fig.

7 mg/dl, respectively. 0 mg/dl on October 15, 19, and 27, respectively. 4 mg/dl, respectively, suggesting renal hypouricemia. On October 30, the patient was admitted to our hospital for further examination. On October 17, 19, and 31, his FEUA values were 60%, 53%, and 58%, respectively (Fig. 29). On October 22, plain CT revealed swelling of the bilateral kidneys. However, the CT attenuation value in the medulla was not high, and there was no massive deposition of uric acid. Contrastenhanced CT 10 min after the administration of contrast medium showed no wedgeshaped contrast enhancement (Fig.

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