Acute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise.

Hiroshi Tamura
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Abstract

Background: There are two known types of exercise-induced acute renal failure. One is the long-known myoglobinuria-induced acute renal failure due to severe rhabdomyolysis, and the other is the recently recognized non-myoglobinuria-induced acute renal failure with mild rhabdomyolysis. Exercise-induced acute renal failure was first reported in 1982. Non-myoglobinuria-induced acute renal failure is associated with severe low back pain and patchy renal vasoconstriction, and it is termed post-exercise acute renal failure because it usually occurs hours after exercise. It is also called acute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise (ALPE).

Aim: To makes a significant contribution to medical literature as it presents a study that investigated a not-widely-known type of exercise-induced acute renal failure known as ALPE.

Methods: We performed a database search selecting papers published in the English or Japanese language. A database search was lastly accessed on September 1, 2022. The results of this study were compared with those reported in other case series.

Results: The study evaluated renal hypouricemia as a key risk factor of ALPE. The development of ALPE is due to the sum of risk factors such as exercise, hypouricemia, nonsteroidal anti-inflammatory drugs, vasopressors, and dehydration.

Conclusion: In conclusion, hypouricemia plays a key role in the development of ALPE and is often associated with anaerobic exercise. The development of ALPE is a result of the cumulative effects of risk factors such as exercise, hypouricemia, NSAIDs, vasopressors, and dehydration.

Abstract Image

无氧运动后急性肾功能衰竭伴严重腰痛和局部肾缺血。
背景:已知有两种类型的运动引起的急性肾功能衰竭。一种是众所周知的由严重横纹肌溶解引起的肌红蛋白尿引起的急性肾功能衰竭,另一种是最近发现的由轻度横纹肌溶解引起的非肌红蛋白尿引起的急性肾功能衰竭。1982年首次报道了运动性急性肾衰竭。非肌红蛋白尿引起的急性肾功能衰竭与严重的腰痛和局部性肾血管收缩有关,由于通常在运动后数小时发生,故称为运动后急性肾功能衰竭。它也被称为急性肾功能衰竭,伴有严重的腰痛和无氧运动(ALPE)后的局部肾缺血。目的:对医学文献做出重大贡献,因为它提出了一项研究,调查了一种不广为人知的运动引起的急性肾衰竭,称为ALPE。方法:我们进行数据库检索,选择以英语或日语发表的论文。最后一次访问数据库是在2022年9月1日。本研究的结果与其他病例系列报道的结果进行了比较。结果:本研究认为肾性低尿酸血症是ALPE的关键危险因素。ALPE的发展是由运动、低尿酸血症、非甾体抗炎药、血管加压药和脱水等危险因素共同作用的结果。结论:总之,低尿酸血症在ALPE的发展中起着关键作用,通常与无氧运动有关。ALPE的发展是运动、低尿酸血症、非甾体抗炎药、血管加压药和脱水等危险因素累积作用的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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