Authors: Zubaida AlIsmaili Melissa Piccioni Michael Zappitelli
Publish Date: 2011/01/20
Volume: 26, Issue: 10, Pages: 1781-1788
Abstract
Rhabdomyolysis refers to the breakdown of skeletal muscle due to either a physical biological or toxic injury that leads to leakage of muscle contents such as myoglobin and creatinine kinase CK into the extracellular fluid This syndrome is classically characterized clinically by muscle weakness and pain and at times teacolored urine Serum myoglobin is filtered by the glomerulus leading to myoglobinuria This may lead to direct renal tubular injury and a clinical presentation ranging from mild to lifethreatening acute kidney injury AKIRhabdomyolysis was described as early as biblical times However it was during the London bombings in World War II that the link between rhabdomyolysis and AKI was described in crush victims 1 followed by similar reports from other wars 2 3 Much later nonphysical injuries were recognized as potential causes of rhabdomyolysis Limited data exist on rates of rhabdomyolysis in
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