Unexplained rhabdomyolysis: clinical analysis of twenty three cases / 中华急诊医学杂志

ABSTRACT

Objective To evaluate clinical features, therapeutic regimen and prognosis of unexplained rhabdomyolysis. Method Clinical manifestations, therapeutic regimen and prognosis were recorded in 23 patients,who were admitted to The First Affiliated Hospital of Nanjing Medical University 13 to 27 August,2010.The 23 patients were diagnozed as unexplained rhabdomyolysis. Results The patients all presented myalgia of upper body,like neck,waist and back,maybe with asthenia, nausea,dyspnea,abdominal pain, red urine or changed color of urine. Laboratory examination obviously step-up of creatine kinase [CK (4655 ± 2556) U/L( normal 25 ～ 190U/L) AST(141 ±78) U/L(normal10～45 U/L),LDH(348± 127) U/L(normal 110～ 250 U/L)]and myoglobin[( Mb ＞ 1000 μg/L (normal 0 ～ 50 μg/L)]. Therapeutic regimen included treatment of the underlying diseases, volume repletion, alkalization and dealing with the complications. No patients developed acute renal failure.All the patients recovered. Conclusions Rhabdomyolysis is a syndrome with different clinical manifestations.However, early diagnosis, proper treatment could prevent serious complications,and prognosis is good.