Journal of Yeungnam Medical Science
- 제29권1호
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- Pages.28-30
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- 2012
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- 2799-8010(eISSN)
횡문근융해증과 경한 신손상을 동반한 급성 A형 간염 1예
Rhabdomyolysis and Mild Kidney Injury in a Patient with Acute Hepatitis A
- 조규민 (가톨릭대학교 의과대학 내과학교실) ;
- 김창욱 (의정부성모병원 내과) ;
- 성현진 (가톨릭대학교 의과대학 내과학교실) ;
- 허준 (가톨릭대학교 의과대학 내과학교실) ;
- 전부석 (가톨릭대학교 의과대학 내과학교실) ;
- 이종환 (가톨릭대학교 의과대학 내과학교실) ;
- 심은희 (가톨릭대학교 의과대학 내과학교실) ;
- 이석종 (가톨릭대학교 의과대학 내과학교실) ;
- 이창돈 (가톨릭대학교 의과대학 내과학교실)
- Cho, Gu-Min (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
- Kim, Chang-Wook (Department of Internal Medicine, Uijeongbu St. Mary's Hospital) ;
- Seong, Hyeon-Jin (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
- Hur, Joon (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
- Jeon, Bu-Seok (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
- Lee, Jong-Hwan (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
- Sim, Eun-Hui (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
- Lee, Seok-Jong (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
- Lee, Chang-Don (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
- 발행 : 2012.06.30
초록
A 48-year-old male visited the emergency room of the authors' hospital due to nausea, vomiting, and myalgia for four days. Acute hepatitis A was identified from the serologic marker of the hepatitis A virus. Mild elevation of the serum creatinine and creatinine phosphokinase (CPK) suggested rhabomyolysis, which was confirmed with the serum aldolase, myoglobin, and urine myoglobin. With supportive care, both the liver and renal functions were recovered gradually and fully. This case shows that rhabdomyolysis can be one of the mechanisms of renal complication in cases of acute symptomatic hepatitis A.