Korean Journal of Nephrology 2009;28(4):335-338.
보디빌더에서 발생한 횡문근융해증 1예
Hyung Soon Park, M.D., Sung Il Jang, M.D., Yong Kyu Lee, M.D., Hye Rim An, M.D., Hyung Chon Park, M.D., Sung Kyu Ha, M.D. and Sung Jin Moon, M.D.
Gangnam Severance Hospital, Department of Internal Medicine Yonsei University College of Medicine, Seoul, Korea
증례 : 보디빌더에서 발생한 횡문근융해증 1예
박형순, 장성일, 이용규, 안혜림, 박형천, 하성규, 문성진
연세대학교 의과대학 강남세브란스병원 내과학교실
Abstract
Rhabdomyolysis is a serious and potentiallylethal disease that can develop from a variety of traumatic and nontraumatic conditions. In this report, the authors describe a case of rhabdomyolysis that occurredafter a body-building tournament. A 32-year-old body-builder was admitted due to quadriplegia and muscle pain. The patient had a serum potassium level of 1.8 mmol/L, creatinine phosphokinase level of 5,414 IU/L and urine myoglobin of 128.1 ng/ml. He had taken anabolic androgenic steroids for 6 months and overate himself with carbohydrate food after the tournament. Possible causes for the rhabdomyolysis were hypokalemia, exercise, and anabolic androgenic steroids, etc. His condition was fully recovered without complications after potassium replacement and general supportive care. Body- builders may be exposed to rhabdomyolysis risk factors such as diet control, weight reduction, and taking steroids. Therefore, special attention and education on rhabdomyolysis should be provided to body-builders.
Key Words: Body build, Rhabdomyolysis, Steroids
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