By Isao Ishikawa
Acute renal failure triggered by means of rhabdomyolysis after strenuous, lengthy workout similar to marathon operating or mountaineering is a well known clinical phenomenon, yet exercise-induced acute renal failure after non permanent anaerobic workout - for example, short-distance tune races - has been famous just recently. This monograph offers in-depth details on exercise-induced acute renal failure after temporary anaerobic workout, which reasons serious soreness within the loin and patchy renal ischemia with out signal of rhabdomyolysis. 1/2 the sufferers struggling with this situation adventure renal hypouricemia, for which nearly 20% are handled with dialysis. this whole medical reference ebook comprises features of the disorder, analysis, remedy and analysis, and corresponding preventive measures. very important details on gene research and etiology can be incorporated, making a necessary source for nephrologists in addition to for emergency physicians and people within the box of activities medication.
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Additional info for Exercise-Induced Acute Renal Failure: Acute Renal Failure with Severe Loin Pain and Patchy Renal Ischemia after Anaerobic Exercise
Example text
6 Relapse Relapse was detected in 31 (20%) of the 155 patients (Fig. 53). In one patient, 5 recurrent episodes were noted [117]. Chapter 7 Exercise 1 Type of Exercise As shown in Fig. 54, the types of exercise taken by the patients consisted of a track race (a short-distance sprint such as a 200-m race), soccer, a swimming race, baseball, weightlifting, and a bicycle race, in all of which an intense power output per second or per minute is repeated. However, a single 100-m race was less likely to cause exercise-induced acute renal failure (ALPE).
The patchy findings were more marked in the left kidney Patient 19: a 39-year-old man This patient required hemodialysis for ALPE. Delayed CT and a bone scan with MDP in the recovery phase showed patchy lesions (these imaging procedures were performed in conjunction with another patient with myoglobinuric acute renal failure due to a malignant syndrome). On July 19, 1999, the patient fell into the water while fishing in a mountain stream, and was carried about 100 m in a few minutes while struggling all the time.
UOsm was 284 ± 69 mOsm/l (n = 23), and UNa was 47 ± 22 mEq/l (n = 28). 2% and less than 1% in about 50% of patients, and 1% or more in the remaining patients. 3 Renal Hypouricemia Renal hypouricemia was observed in 76 (57%) of the 133 patients in whom the serum levels of uric acid were recorded. 0 mg/dl or less at baseline were regarded as having hypouricemia. 4 Imaging Findings (Wedge-Shaped Patchy Renal Ischemia) Wedge-shaped contrast enhancement was detected in 53 (93%) of the 57 patients who underwent delayed computed tomography (CT) (Fig.