肌红蛋白尿：明确诊断的重要性——一例脂肪酸氧化缺陷患者
Myoglobinuria: the importance of reaching a firm diagnosis--a patient with defective fatty acid oxidation.
作者信息
Ellis C J, Dewhurst A G, Cooper M, Brenton D P, Dathan J R
机构信息
Department of Medicine, Royal South Hants Hospital, Southampton, UK.
出版信息
Postgrad Med J. 1990 Mar;66(773):235-7. doi: 10.1136/pgmj.66.773.235.
Abstract
A 52 year old man presented with myoglobinuria-induced acute renal failure requiring dialysis. Despite renal biopsy, the cause of the myoglobinuria was not established until he re-presented a year later with a milder episode. At this stage investigations, including a muscle biopsy, demonstrated a defect in fatty acid oxidation amenable to dietary and lifestyle advice. This report emphasizes the importance of reaching a definitive diagnosis in myoglobinuria.
摘要
一名52岁男性因肌红蛋白尿诱发急性肾衰竭，需要进行透析治疗。尽管进行了肾活检，但直到一年后他再次出现较轻微发作时，肌红蛋白尿的病因才得以明确。在这个阶段，包括肌肉活检在内的各项检查显示，脂肪酸氧化存在缺陷，可通过饮食和生活方式建议加以改善。本报告强调了明确诊断肌红蛋白尿的重要性。
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1
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Ann Intern Med. 1964 Dec;61:1015-28. doi: 10.7326/0003-4819-61-6-1015.
2
Combined partial deficiency of muscle carnitine palmitoyltransferase and carnitine with autosomal dominant inheritance.伴有常染色体显性遗传的肌肉肉碱棕榈酰转移酶和肉碱联合部分缺乏症。
J Neurol Neurosurg Psychiatry. 1980 Aug;43(8):679-82. doi: 10.1136/jnnp.43.8.679.
3
Carnitine palmityl transferase deficiency: clinical variability, carrier detection, and autosomal-recessive inheritance.肉碱棕榈酰转移酶缺乏症：临床变异性、携带者检测及常染色体隐性遗传
Neurology. 1981 Jul;31(7):883-6. doi: 10.1212/wnl.31.7.883.
4
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Neurology. 1980 Mar;30(3):263-71. doi: 10.1212/wnl.30.3.263.
5
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Medicine (Baltimore). 1982 May;61(3):141-52. doi: 10.1097/00005792-198205000-00002.
6
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