| Autor: |
Kung AW; Department of Medicine, Queen Mary Hospital, University of Hong Kong., Pun KK, Lam KS, Yeung RT |
| Jazyk: |
angličtina |
| Zdroj: |
Postgraduate medical journal [Postgrad Med J] 1991 Oct; Vol. 67 (792), pp. 912-3. |
| DOI: |
10.1136/pgmj.67.792.912 |
| Abstrakt: |
Rhabdomyolysis has been reported to be associated with hyperosmolality in diabetic ketoacidosis and non-ketotic hyperosmolal state. Whether the rhabdomyolysis was due to hyperosmolality per se or whether hyperglycaemia also played a role is not clear. We hereby report a case of cranial diabetes insipidus with hypernatraemia and hyperosmolality complicated by rhabdomyolysis. None of the known risk factors, such as coma, hypokalaemia, hypophosphataemia, diabetic ketoacidosis or non-ketotic hyperosmolality, were present in this patient. We believe that severe hyperosmolality per se is an important predisposing factor for non-traumatic rhabdomyolysis, and serum muscle enzymes should be closely monitored in the management of patients with diabetes insipidus. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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