DOI QR코드

DOI QR Code

운동, 알코올, 약물 등 복합적 요인으로 유발된 횡문근융해증 환자 치험 1례

A Case Report of Rhabdomyolysis Induced by a Combination of Exercise, Alcohol, and Medication

  • 진준수 (국립중앙의료원 한방내과) ;
  • 이희정 (국립중앙의료원 한방신경정신과) ;
  • 민백기 (국립중앙의료원 침구과) ;
  • 공원호 (삼세한방병원 한방내과) ;
  • 서호석 (국립중앙의료원 한방내과) ;
  • 김진원 (국립중앙의료원 한방내과)
  • Jin, Joon-soo (Dept. of Internal Medicine of Korean Medicine, National Medical Center) ;
  • Lee, Hee-jung (Neuropsychiatry, National Medical Center) ;
  • Min, Baek-ki (Acupuncture & Moxibustion, National Medical Center) ;
  • Kong, Won-ho (Dept. of Internal Medicine of Korean Medicine, Samse Hospital of Korean Medicine) ;
  • Seo, Ho-seok (Dept. of Internal Medicine of Korean Medicine, National Medical Center) ;
  • Kim, Jin-won (Dept. of Internal Medicine of Korean Medicine, National Medical Center)
  • 투고 : 2018.08.01
  • 심사 : 2018.10.25
  • 발행 : 2018.10.30

초록

Rhabdomyolysis is a syndrome that evokes either myopathy or cola-colored urine with elevated creatine kinase and myoglobin levels. The most common complication of rhabdomyolysis is acute renal failure (ARF). A large quantity of fluid must be injected promptly the first time symptoms appear, whereas sequela of symptoms has remained in the long run. In this report, a 58-year-woman was diagnosed with ARF due to rhabdomyolysis induced by exercise, alcohol, and medication. A treatment of acupuncture and herbal medicines was carried out for over 2 months. To evaluate the condition of the patient's lower limb, a short form of the McGill Pain Questionnaire, Visual Analogue Scale (VAS), European Quality of Life-5 Dimensions (EQ-5D), and Manual Muscle Test (MMT) points were used. As a result, clinical symptoms and quality of life improved noticeably after treatment with Korean medicine. This suggests that Korean medicine has an effect on rhabdomyolysis.

키워드

참고문헌

  1. Vanholder R, Sever MS, Erek E, Lamaeire N. Rhabdomyolysis. J Am Soc Nephrol 2000:11(8):1553-61.
  2. Sauret JM, Marinides G, Wang GK. Rhabdomyolysis. Am Fam Physician 2002:65(5):907-12.
  3. Khan FY. Rhabdomyolysis:a review of the literature. Neth J Med 2009:67(9):272-83.
  4. Bosch X, Poch E, Grau JM. Rhabdomyolysis and acute kidney injury. N Engl J Med 2009:361(1):62-72. https://doi.org/10.1056/NEJMra0801327
  5. Zutt R, van der Kooi AJ, Linthorst GE, Wanders RJ, de Visser M. Rhabdomyolysis:review of the literature. Neuromuscul Disord 2014:24(8):651-9. https://doi.org/10.1016/j.nmd.2014.05.005
  6. Nance JR, Mammen AL. Diagnostic evaluation of rhabdomyolysis. Muscle Nerve 2015:51(6):793-810. https://doi.org/10.1002/mus.24606
  7. Koskelo P, Kekki M, Wager O. Kinetic behaviour of 131-I-labelled myoglobin in human beings. Clin Chim Acta 1967:17:339-347. https://doi.org/10.1016/0009-8981(67)90207-0
  8. Alobaidi A, Backdash MM, El-Menyar A. Thigh compartment syndrome complicated by sciatic nerve palsy, rhabdomyolysis, and acute renal failure. Clin Case Rep 2015:4(2):107-10.
  9. Chung KJ, Chung YK, Yoo JH, Wang JS. Sciatic Nerve Palsy Complicating Gluteal Compartment Syndrome due to Rhabdomyolysis. J of Korean Orthop Assoc 2005:40(1):103-6. https://doi.org/10.4055/jkoa.2005.40.1.103
  10. Riede U, Schmid MR, Romero J. Conservative treatment of an acute compartment syndrome of the thigh. Arch Orthop Trauma Surg 2007:127(4):269-75. https://doi.org/10.1007/s00402-006-0199-1
  11. Jeong HY, Nam SK, Cho CS. One case of rhabdomyolysis after spinning exercise. J The Journal of Internal Korean Medicine 2016:37(5):711-6. https://doi.org/10.22246/jikm.2016.37.5.711
  12. Kim SG, Park SH, Park OJ, Cho NG. A case report of rhabdomyolysis resulting from shock caused by overworking. The Acupuncture 2015:32(1):127-31.
  13. Jo MW, Ahn JH, Kim SH, Shin SJ, Park JY, Ok MS, et al. The valuation of EQ-5D-5L health states in Korea. National Evidence-based Healthcare Collaborating Agency 2014:1-120.
  14. Lee GE, Park BY, Moon KS, You JM, Kang HW. A Study on the Development of the Core Emotional Assessment Questionnaire (CEAQ) Based on the Seven Emotions. J of Oriental Neuropsychiatry 2015:26(2):143-60. https://doi.org/10.7231/jon.2015.26.2.143
  15. Bagley WH, Yang H, Shah KH. Rhabdomyolysis. Intern Emerg Med 2007:2(3):210-8. https://doi.org/10.1007/s11739-007-0060-8
  16. Sirtori CR. Pharmacology and mechanism of action of the new HMG-CoA reductase inhibitors. Pharmacological Research 1990:22(5):555-63. https://doi.org/10.1016/S1043-6618(05)80047-7
  17. Manoukian AA, Bhagavan NV, Hayashi T, Nestor TA, Rios C, Scottolini AG. Rhabdomyolysis secondary to lovastatin therapy. Clin Chem 1990:36(12):2145-7. https://doi.org/10.1093/clinchem/36.12.2145
  18. Knochel JP. Mechanisms of rhabdomyolysis. Curr Opin Rheumatol 1993:5(6):725-31. https://doi.org/10.1097/00002281-199305060-00006
  19. Zager RA. Heme protein-ischemic interactions at the vascular, intraluminal, and renal tubular cell levels:implications for therapy of myoglobin-induced renal injury. Ren Fail 1992:14(3):341-4. https://doi.org/10.3109/08860229209106640
  20. Holt SG, Moore KP. Pathogenesis and treatment of renal dysfunction in rhabdomyolysis. Intensive Care Med 2001:27(5):803-11. https://doi.org/10.1007/s001340100878
  21. Ron D, Taitelman U, Michaelson M, Bar-Joseph G, Bursztein S, Better OS. Prevention of acute renal failure in traumatic rhabdomyolysis. Arch Intern Med 1984:144(2):277-80. https://doi.org/10.1001/archinte.1984.00350140077012
  22. The Korean Acupuncture & Moxibstion Medicine Society; The textbook compilation committee. The Acupuncture and Moxibustion II Paju: Jipmoon publishing inc: 2012. p. 636-7.
  23. 萩原 圭祐. Analgesic Effect of Wuchasinki-hwan through Neuroglia. Science of Kampo Medicine 2017:41(3):156-7.
  24. Ko SB, Kim DH, Kim SH, Lim NC. Study for clinical application of Mahwangtang. Daejeon University 1999:7(2):361-84.
  25. Bae JY, Jo EH, Kim HY, Park MC. Inhibitory Effect of Ten Kinds of Herbal Medicine Including Ephedrae Herba on Nitric Oxide in LPS-induced Murine Peritoneal Macrophage. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology 2009:22(2):19-38.
  26. Takao Y, Takaoka Y, Sugano A, Sato H, Motoyama Y, Ohta M, et al. Shakuyaku-kanzo-to (Shao-Yao-Gan-Cao-Tang) as Treatment of Painful Muscle Cramps in Patients with Lumbar Spinal Stenosis and Its Minimum Effective Dose. Kobe J Med Sci 2016:61(5):E132-7.
  27. Stormer FC, Reistad R, Alexander J. Glycyrrhizic acid in liquorice:evaluation of health hazard. Food Chem Toxicol 1993:31(4):303-12. https://doi.org/10.1016/0278-6915(93)90080-I