Exercise-induced rhabdomyolysis – frequent cause of false diagnosis
Authors:
J. Racek; V. Petříková; D. Rajdl
Authors place of work:
Ústav klinické biochemie a hematologie Lékařské fakulty UK a Fakultní nemocnice v Plzni
Published in the journal:
Klin. Biochem. Metab., 25, 2017, No. 2, p. 72-76
Summary
Objective:
To describe cases of exercise-induced rhabdomyolysis and warn of the most frequent false diagnoses.
Design:
Case reports with evaluation of laboratory results and analysis of etiopathogenesis of this condition.
Settings:
Department of Clinical Biochemistry and Hematology, Faculty of Medicine, Charles University and Faculty Hospital, Alej Svobody 80, 304 60 Pilsen (Czech Republic).
Material and Methods:
Case reports and their analysis.
Results:
The paper describes seven cases of exercise-induced rhabdomyolysis; all patients were examined and treated in the Faculty Hospital in Pilsen. In most of the cases the condition was evaluated falsely during the first contact with the physician. Etiopathogenesis of this condition is described on the basis of case reports analysis and the most frequent cases of false diagnosis are shown.
Conclusion:
Exercise-induced rhabdomyolysis can arise after an inappropriate muscle load, especially in less trained persons. Incorrect evaluation of laboratory results can lead to diagnosis of liver disease and hematuria.
Keywords:
rhabdomyolysis, muscle load, liver disease, hematuria.
Zdroje
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Štítky
Clinical biochemistry Nuclear medicine Nutritive therapistČlánok vyšiel v časopise
Clinical Biochemistry and Metabolism
2017 Číslo 2
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