Hepatocellular Carcinoma, Polymyositis, Rhabdomyolysis, and Acute Renal Failure
Journal of Korean Medical Science
;
: 891-894, 2004.
Article
in English
| WPRIM
| ID: wpr-175767
ABSTRACT
A 55 yr-old man presented with progressive muscle weakness and oliguria for 5days. Laboratory findings suggested rhabdomyolysis complicated with acute renal failure. A diagnosis of polymyositis was based upon the proximal muscle weakness on both upper and lower limbs, elevated muscle enzyme levels, muscle biopsy findings and the needle electromyography findings. The muscle biopsy showed extensive muscle necrosis and calcification. Investigations for underlying malignancy demonstrated hepatocellular carcinoma. The patient was managed with hemodialysis and high dose prednisolone. His renal function was fully recovered and his muscle power did improve slightly, but he died of a rupture of the hepatic tumor. In our view, this is an interesting case in that the hepatocellular carcinoma was associated with polymyositis and fulminant rhabdomyolysis-induced acute renal failure requiring hemodialysis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rhabdomyolysis
/
Polymyositis
/
Carcinoma, Hepatocellular
/
Diagnosis, Differential
/
Acute Kidney Injury
/
Liver Neoplasms
Type of study:
Diagnostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2004
Type:
Article
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