Joshi Deepika, Kumar Niraj, Rai Anand
Department of Neurology, I.M.S., B.H.U., Varanasi-221005, India.
Ann Indian Acad Neurol. 2009 Jan;12(1):45-7. doi: 10.4103/0972-2327.48853.
Rhabdomyolysis and myoglobinuria are a rare complication of dermatomyositis. Such patient can land up in acute renal failure. Recognition of this fact has important therapeutic implications as patients require immunotherapy in addition to the symptomatic treatment for renal failure. We report a case of dermatomyositis with evidence of rhabdomyolysis and myoglobinuria presenting with acute renal failure. The patient responded dramatically to corticosteroid therapy.
横纹肌溶解症和肌红蛋白尿是皮肌炎的一种罕见并发症。这类患者可能会发展为急性肾衰竭。认识到这一事实具有重要的治疗意义，因为患者除了需要针对肾衰竭的对症治疗外，还需要免疫治疗。我们报告一例皮肌炎患者，伴有横纹肌溶解症和肌红蛋白尿的证据，并出现急性肾衰竭。该患者对皮质类固醇治疗反应显著。
