水中毒によって引き起こされた横紋筋融解症の1症例―急激なナトリウム値補正の関与―

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タイトル別名
  • Rhabdomyolysis due to water intoxication
  • 急激なナトリウム値補正の関与

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説明

Rhabdomyolysis is caused by a variety of mechanisms, such as drug intoxication, trauma, electrolytes abnormalites and neuro-muscular disorders. This article describes a 63-year-old male patient developed rhabdomyolysis due to hyponatremia after water intoxination and during its correction. Rhabdomyolysis due to water intoxication is rare, and the mechanism has not yet clearly elucidated. Some investigators suspect that serum electrolytes abnormalities according to sodium-calcium exchanger or changes in serum osmolarity may lead to cell membrane fragility. Our case highlights the clinical importance of serum electrolytes and osmolarity abnormalities as causes of rhabdomyolysis due to water intoxication.

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