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
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
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.
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.
참고문헌 (27)
- Vanholder R, "Rhabdomyolysis", J Am Soc Nephrol, 11(8), pp.1553~1561 (2000)
- Sauret JM, "Rhabdomyolysis", Am Fam Physician, 65(5), pp.907~912 (2002)
- Khan FY, "Rhabdomyolysis: a review of the literature", Neth J Med, 67(9), pp.272~283 (2009)
- Bosch X, "Rhabdomyolysis and acute kidney injury", N Engl J Med, 361(1), pp.62~72 (2009)
- Zutt R, "Rhabdomyolysis: review of the literature", Neuromuscul Disord, 24(8), pp.651~659 (2014)
- Nance JR, "Diagnostic evaluation of rhabdomyolysis", Muscle Nerve, 51(6), pp.793~810 (2015)
- Koskelo P, "Kinetic behaviour of 131-I-labelled myoglobin in human beings", Clin Chim Acta, 17, pp.339~347 (1967)
- Alobaidi A, "Thigh compartment syndrome complicated by sciatic nerve palsy, rhabdomyolysis, and acute renal failure", Clin Case Rep, 4(2), pp.107~110 (2015)
- 정국진, "횡문근 분해증으로 발생한 둔부 구획 증후군에 합병된 좌골 신경 마비 -1예 보고 -", 대한정형외과학회지, 40(1), pp.103~106 (2005), 대한정형외과학회
- Riede U, "Conservative treatment of an acute compartment syndrome of the thigh", Arch Orthop Trauma Surg, 127(4), pp.269~275 (2007)
- 정호영, "스피닝 운동 후 발생한 횡문근융해증 치험 1례", 대한한방내과학회지, 37(5), pp.711~716 (2016), 대한한방내과학회
- 김슬기, "과로로 인한 쇼크 후 발생한 횡문근 융해증 1례", Journal of Acupuncture Research, 32(1), pp.127~131 (2015), 대한침구의학회
- Jo MW, "The valuation of EQ-5D-5L health states in Korea", National Evidence-based Healthcare Collaborating Agency, 1~120 (2014)
- 이고은, "한의학 칠정(七情)에 기반을 둔 핵심감정평가척도 개발 연구", 동의신경정신과학회지, 26(2), pp.143~160 (2015), 대한한방신경정신과학회
- Bagley WH, "Rhabdomyolysis", Intern Emerg Med, 2(3), pp.210~218 (2007)
- Sirtori CR, "Pharmacology and mechanism of action of the new HMG-CoA reductase inhibitors", Pharmacological Research, 22(5), pp.555~563 (1990)
- Manoukian AA, "Rhabdomyolysis secondary to lovastatin therapy", Clin Chem, 36(12), pp.2145~2147 (1990)
- Knochel JP, "Mechanisms of rhabdomyolysis", Curr Opin Rheumatol, 5(6), pp.725~731 (1993)
- 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, 14(3), pp.341~344 (1992)
- Holt SG, "Pathogenesis and treatment of renal dysfunction in rhabdomyolysis", Intensive Care Med, 27(5), pp.803~811 (2001)
- Ron D, "Prevention of acute renal failure in traumatic rhabdomyolysis", Arch Intern Med, 144(2), pp.277~280 (1984)
- The Korean Acupuncture & Moxibstion Medicine Society, The textbook compilation committee, "The Acupuncture and Moxibustion II", pp.636~637 (2012), Jipmoon publishing inc
- 萩原 圭祐, "Analgesic Effect of Wuchasinki-hwan through Neuroglia", Science of Kampo Medicine, 41(3), pp.156~157 (2017)
- Ko SB, "Study for clinical application of Mahwangtang", 7(2), pp.361~384 (1999), Daejeon University
- 배주연, "LPS로 활성화된 복강 대식세포에서 麻黃이 配伍된 10種 처방의 NO 억제 효과", 한방안이비인후피부과학회지, 22(2), pp.19~38 (2009), 대한한방안이비인후피부과학회
- Takao Y, "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, 61(5), pp.E132~E137 (2016)
- Stormer FC, "Glycyrrhizic acid in liquorice: evaluation of health hazard", Food Chem Toxicol, 31(4), pp.303~312 (1993)