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秋水仙碱诱导的横纹肌溶解症。

Colchicine-induced rhabdomyolysis.

作者信息

Altman Arie, Szyper-Kravitz Martine, Shoenfeld Yehuda

机构信息

Center for Autoimmune Diseases, Sheba Medical Center Tel-Hashomer, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Department of Medicine B, Sheba Medical Center Tel-Hashomer, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

出版信息

Clin Rheumatol. 2007 Dec;26(12):2197-2199. doi: 10.1007/s10067-007-0682-2. Epub 2007 Jul 10.

Abstract

A case of colchicine-induced rhabdomyolysis is reported. A 79-year-old man with ischemic heart disease, chronic atrial fibrillation, chronic renal failure, hypothyroidism, and gout arthritis was hospitalized because of fatigue, myalgia, and leg weakness, shortly after starting treatment with colchicine. Investigation confirmed the diagnosis of rhabdomyolysis, and discontinuation of colchicine resulted in resolution of clinical and biochemical features of rhabdomylysis. Colchicine-induced rhabdomyolysis is a rare complication, and the postulated mechanisms and risk factors for this severe complication are discussed.

摘要

报告了一例秋水仙碱诱发的横纹肌溶解症病例。一名79岁男性,患有缺血性心脏病、慢性心房颤动、慢性肾衰竭、甲状腺功能减退和痛风性关节炎,在开始使用秋水仙碱治疗后不久,因疲劳、肌痛和腿部无力而住院。检查确诊为横纹肌溶解症,停用秋水仙碱后,横纹肌溶解症的临床和生化特征得以缓解。秋水仙碱诱发的横纹肌溶解症是一种罕见的并发症,并对这种严重并发症的推测机制和危险因素进行了讨论。

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