Acidóse tubular renal distal manifestando-se com rabdomiólise

Detalhes bibliográficos
Autor(a) principal: Zanoteli, Edmar [UNIFESP]
Data de Publicação: 1994
Outros Autores: Oliveira, Acary Souza Bulle [UNIFESP], Tengan, Célia Harumi [UNIFESP], Morita, Maria da Penha Ananias [UNIFESP], Schmidt, Beny [UNIFESP], Gabbai, Alberto Alain [UNIFESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0004-282X1994000400016
http://repositorio.unifesp.br/handle/11600/360
Resumo: 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.
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spelling Acidóse tubular renal distal manifestando-se com rabdomióliseDistail renal tubular acidosis manifesting with rhabdomyolysishypokalemiarhabdomyolysisrenal tubular acidosishipocalemiarabdomióliseacidóse tubular renalSevere 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.Escola Paulista de Medicina Departamento de Neurologia, Neurocirurgia e Neurologia ExperimentalEPM Departamento de Anatomia PatológicaUNIFESP, EPM, Depto. de Neurologia, Neurocirurgia e Neurologia ExperimentalEPM Depto. de Anatomia PatológicaSciELOAcademia Brasileira de Neurologia - ABNEUROUniversidade Federal de São Paulo (UNIFESP)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]2015-06-14T13:24:27Z2015-06-14T13:24:27Z1994-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion549-553application/pdfhttp://dx.doi.org/10.1590/S0004-282X1994000400016Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 52, n. 4, p. 549-553, 1994.10.1590/S0004-282X1994000400016S0004-282X1994000400016.pdf0004-282XS0004-282X1994000400016http://repositorio.unifesp.br/handle/11600/360porArquivos de Neuro-Psiquiatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-28T12:32:24Zoai:repositorio.unifesp.br/:11600/360Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-28T12:32:24Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Acidóse tubular renal distal manifestando-se com rabdomiólise
Distail renal tubular acidosis manifesting with rhabdomyolysis
title Acidóse tubular renal distal manifestando-se com rabdomiólise
spellingShingle Acidóse tubular renal distal manifestando-se com rabdomiólise
Zanoteli, Edmar [UNIFESP]
hypokalemia
rhabdomyolysis
renal tubular acidosis
hipocalemia
rabdomiólise
acidóse tubular renal
title_short Acidóse tubular renal distal manifestando-se com rabdomiólise
title_full Acidóse tubular renal distal manifestando-se com rabdomiólise
title_fullStr Acidóse tubular renal distal manifestando-se com rabdomiólise
title_full_unstemmed Acidóse tubular renal distal manifestando-se com rabdomiólise
title_sort Acidóse tubular renal distal manifestando-se com rabdomiólise
author Zanoteli, Edmar [UNIFESP]
author_facet 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]
author_role author
author2 Oliveira, Acary Souza Bulle [UNIFESP]
Tengan, Célia Harumi [UNIFESP]
Morita, Maria da Penha Ananias [UNIFESP]
Schmidt, Beny [UNIFESP]
Gabbai, Alberto Alain [UNIFESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv 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]
dc.subject.por.fl_str_mv hypokalemia
rhabdomyolysis
renal tubular acidosis
hipocalemia
rabdomiólise
acidóse tubular renal
topic hypokalemia
rhabdomyolysis
renal tubular acidosis
hipocalemia
rabdomiólise
acidóse tubular renal
description 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.
publishDate 1994
dc.date.none.fl_str_mv 1994-12-01
2015-06-14T13:24:27Z
2015-06-14T13:24:27Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0004-282X1994000400016
Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 52, n. 4, p. 549-553, 1994.
10.1590/S0004-282X1994000400016
S0004-282X1994000400016.pdf
0004-282X
S0004-282X1994000400016
http://repositorio.unifesp.br/handle/11600/360
url http://dx.doi.org/10.1590/S0004-282X1994000400016
http://repositorio.unifesp.br/handle/11600/360
identifier_str_mv Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 52, n. 4, p. 549-553, 1994.
10.1590/S0004-282X1994000400016
S0004-282X1994000400016.pdf
0004-282X
S0004-282X1994000400016
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Arquivos de Neuro-Psiquiatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 549-553
application/pdf
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268416071041024

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