Browse > Article
http://dx.doi.org/10.22246/jikm.2018.39.5.904

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

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)
Publication Information
The Journal of Internal Korean Medicine / v.39, no.5, 2018 , pp. 904-913 More about this Journal
Abstract
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.
Keywords
rhabdomyolysis; myopathy; acupuncture; herb medicine; case report;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Vanholder R, Sever MS, Erek E, Lamaeire N. Rhabdomyolysis. J Am Soc Nephrol 2000:11(8):1553-61.
2 Khan FY. Rhabdomyolysis:a review of the literature. Neth J Med 2009:67(9):272-83.
3 Bosch X, Poch E, Grau JM. Rhabdomyolysis and acute kidney injury. N Engl J Med 2009:361(1):62-72.   DOI
4 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.   DOI
5 Nance JR, Mammen AL. Diagnostic evaluation of rhabdomyolysis. Muscle Nerve 2015:51(6):793-810.   DOI
6 Koskelo P, Kekki M, Wager O. Kinetic behaviour of 131-I-labelled myoglobin in human beings. Clin Chim Acta 1967:17:339-347.   DOI
7 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.
8 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.   DOI
9 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.   DOI
10 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.   DOI
11 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.
12 Sauret JM, Marinides G, Wang GK. Rhabdomyolysis. Am Fam Physician 2002:65(5):907-12.
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 Manoukian AA, Bhagavan NV, Hayashi T, Nestor TA, Rios C, Scottolini AG. Rhabdomyolysis secondary to lovastatin therapy. Clin Chem 1990:36(12):2145-7.   DOI
15 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.   DOI
16 Bagley WH, Yang H, Shah KH. Rhabdomyolysis. Intern Emerg Med 2007:2(3):210-8.   DOI
17 Sirtori CR. Pharmacology and mechanism of action of the new HMG-CoA reductase inhibitors. Pharmacological Research 1990:22(5):555-63.   DOI
18 Knochel JP. Mechanisms of rhabdomyolysis. Curr Opin Rheumatol 1993:5(6):725-31.   DOI
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.   DOI
20 Holt SG, Moore KP. Pathogenesis and treatment of renal dysfunction in rhabdomyolysis. Intensive Care Med 2001:27(5):803-11.   DOI
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.   DOI
22 Stormer FC, Reistad R, Alexander J. Glycyrrhizic acid in liquorice:evaluation of health hazard. Food Chem Toxicol 1993:31(4):303-12.   DOI
23 The Korean Acupuncture & Moxibstion Medicine Society; The textbook compilation committee. The Acupuncture and Moxibustion II Paju: Jipmoon publishing inc: 2012. p. 636-7.
24 萩原 圭祐. Analgesic Effect of Wuchasinki-hwan through Neuroglia. Science of Kampo Medicine 2017:41(3):156-7.
25 Ko SB, Kim DH, Kim SH, Lim NC. Study for clinical application of Mahwangtang. Daejeon University 1999:7(2):361-84.
26 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.
27 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.