Soltani Parvin, Rezvanfar Mohammad Reza, Pirasteh Shadi
Department of Internal Medicine, Arak University of Medical Sciences, Arak, Iran.
Iran J Kidney Dis. 2008 Jan;2(1):50-2.
We report a case of acute renal failure related to rhabdomyolysis in a patient with Sheehan syndrome, while other diseases that could cause rhabdomyolysis were excluded. The patient's kidney function completely recovered with 3 sessions of intermittent hemodialysis. After thyroxine replacement therapy, musculoskeletal symptoms disappeared and creatine kinase concentrations decreased. Steroid replacement therapy was also administered. The present case suggests that rhabdomyolysis could occur in a patient with Sheehan syndrome without other precipitating factors.
我们报告一例希恩综合征患者发生与横纹肌溶解相关的急性肾衰竭,同时排除了其他可能导致横纹肌溶解的疾病。该患者经3次间歇性血液透析后肾功能完全恢复。甲状腺素替代治疗后,肌肉骨骼症状消失,肌酸激酶浓度降低。同时也给予了类固醇替代治疗。本病例提示,希恩综合征患者在无其他诱发因素的情况下也可能发生横纹肌溶解。