Please use this identifier to cite or link to this item: https://repositorio.unifesp.br/handle/11600/360
Title: Acidóse tubular renal distal manifestando-se com rabdomiólise
Other Titles: Distail renal tubular acidosis manifesting with rhabdomyolysis
Authors: Zanoteli, Edmar [UNIFESP]
Oliveira, Acary Souza Bulle [UNIFESP]
Tengan, Célia Harumi [UNIFESP]
Morita, Maria da Penha Ananias [UNIFESP]
Schmidt, Beny [UNIFESP]
Gabbai, Alberto Alain [UNIFESP]
Universidade Federal de São Paulo (UNIFESP)
Keywords: hypokalemia
rhabdomyolysis
renal tubular acidosis
hipocalemia
rabdomiólise
acidóse tubular renal
Issue Date: 1-Dec-1994
Publisher: Academia Brasileira de Neurologia - ABNEURO
Citation: Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 52, n. 4, p. 549-553, 1994.
Abstract: Severe hypokalemia is an uncommon cause of rhabdomyolysis. We describe a patient, 28-year-old woman, with distal renal tubular acidosis (DRTA) who developed severe hypokalemia and rhabdomyolysis. Muscle biopsy shows focal muscular necrosis mainly in type II muscle fibers and mild macrophagic reaction. After correcting the acidosis with oral administration of alkalinizing salts, clinical and laboratory improvement was seen. This clearly establish a causal realtionship between the positive acid balance, hypokalemia and the muscular manifestation in DRTA.
A hipocalemia severa é causa incomum de rabdomiólise. Descreve-se o caso de urna paciente de 28 anos com acidóse tubular renal distal, que desenvolveu hipocalemia severa com consequente rabdomiólise. O estudo histológico do músculo evidenciou áreas focais de necrose muscular predominando em fibras do tipo II, com discreta reação macrofágica. A melhora clínica e laboratorial apresentada pela paciente ocorreu após a normalização do potássio sérico, tendo sido fundamental, neste caso, a correção da acidóse metabólica.
URI: http://repositorio.unifesp.br/handle/11600/360
ISSN: 0004-282X
Other Identifiers: http://dx.doi.org/10.1590/S0004-282X1994000400016
Appears in Collections:Artigo

Files in This Item:
File Description SizeFormat 
S0004-282X1994000400016.pdf693.15 kBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.