By Isao Ishikawa
Acute renal failure caused by way of rhabdomyolysis after strenuous, lengthy workout resembling marathon working or climbing is a well known clinical phenomenon, yet exercise-induced acute renal failure after non permanent anaerobic workout - for example, short-distance tune races - has been well-known only in the near past. This monograph offers in-depth details on exercise-induced acute renal failure after temporary anaerobic workout, which reasons serious ache within the loin and patchy renal ischemia without signal of rhabdomyolysis. half the sufferers being affected by this event renal hypouricemia, for which nearly 20% are handled with dialysis. this whole medical reference e-book contains features of the affliction, prognosis, therapy and analysis, and corresponding preventive measures. very important info on gene research and etiology is additionally incorporated, making a priceless source for nephrologists in addition to for emergency physicians and people within the box of activities drugs.
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Additional info for Exercise-induced acute renal failure: acute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise
52. Proportion of patients with wedgeshaped contrast enhancement in those who underwent delayed CT Wedge-shaped contrast enhancement + 93 (53/57) 100 (%) + 20 (31/155) 0 − 7 0 Fig. 53. 9 days after onset (n = 32). In all patients, the ﬁndings suggested either acute tubular necrosis or its recovery phase. The underlying diseases included kidney diseases such as IgA nephropathy , minimal change nephrotic syndrome , autosomal dominant polycystic kidney disease (ADPKD) , and cystinuria .
Chapter 6 Summary of 155 Cases Collected from the Literature For this collection of data, we selected patients with acute kidney dysfunction or acute renal failure who met the above criteria for exercise-induced acute renal failure (ALPE), and who also matched our description. We collected a total of 155 patients with ALPE. The ﬁrst 118 patients [2,3,22,27,30,34,35,37–95, Yamagata (personal communication, 1986), Ishikawa (unpublished results, 1994), Kadowaki (personal communication, 1996)] included 20 who we encountered before December 2000, and the remaining 37 patients [36,96–126] included 2 who we encountered between January 2001 and December 2004.
A summary of these 155 patients is shown in Table 4. We collected a total of 173 patients by adding 18 more patients [127–136] including 1 who we encountered before December 2005. 8 years (Fig. 46). ALPE was particularly frequent in patients aged 14–25 years. 9%) were male. It seems that males sprint more frequently than females. Furthermore, 28 (46%) of the 61 patients in whom the presence or absence of a cold was recorded had caught a cold prior to exercise, and 23 (34%) of 68 patients took cold medicine or antipyretic analgesics (Fig.