Leonetti F, Dussol B, Berland Y
Service de Néphrologie, Hôpital Sainte-Marguerite, Marseille.
Presse Med. 1992;21(1):31-2.
Muscular disorders are usual in hypothyroidism, but hypothyroid myopathy is most often limited to myalgias, muscle stiffness and cramps with sometimes elevated levels of muscle enzymes. We report a case of acute renal failure related to rhabdomyolysis, which complicated hypothyroïd myopathy. Thyroid hormone replacement therapy improved thyroid and renal function, and reversal rhabdomyolysis. Hypothyroidism appears to be an authentic cause of rhabdomyolysis and should be eliminated in all patients with serum muscle enzyme increase.
肌肉疾病在甲状腺功能减退症中很常见，但甲状腺功能减退性肌病通常仅限于肌痛、肌肉僵硬和痉挛，有时肌肉酶水平会升高。我们报告了一例与横纹肌溶解症相关的急性肾衰竭病例，该病例使甲状腺功能减退性肌病复杂化。甲状腺激素替代疗法改善了甲状腺和肾功能，并逆转了横纹肌溶解症。甲状腺功能减退似乎是横纹肌溶解症的一个真正原因，所有血清肌肉酶升高的患者都应排除该病因。
