[Acute rhabdomyolytic alcoholic myopathy associated with acute alcoholic hepatitis]. / Miopatía aguda etílica rabdomiolítica asociada a hepatitis alcohólica aguda.

Acute rhabdomyolysis (ARM) is a clinico-biological syndrome characterized by the lesion of the skeletal muscle resulting in a disorder of the permeability at the membrane of the muscle cells, with the release of intracellular substances to the plasma, mainly proteins and ions. We present the case of a chronic alcoholic patient which, after a period of several days in which he increased his consumption of alcohol, developed clinical signs of acute rhabdomyolytic alcoholic myopathy (AREM) associated to acute alcoholic hepatitis (AAH). In the review of the literature, we did not find any description of the association between AREM and acute hepatitis of alcoholic origin. We consider the nonspecificity of the clinical signs of the AREM and we suggest the systematic assessment of creatine-phosphokinase in patients at risk.