Larsen Christian, Jensen Mogens Pfeiffer
Reumatologisk Afdeling U, Aarhus Universitets-hospital, Nørrebrogade 44, 8000 Aarhus C.
Ugeskr Laeger. 2014 Jun 16;176(25).
A 35-year-old woman was acutely hospitalized with oedema of the upper limbs, reduced force, severe movement reduction and muscle pain in both upper extremities. Her symptoms started after three days of intense exercise doing kayaking and a lot of pull-ups in crossfit. Rhabdomyolysis is a syndrome, characterized by muscle necrosis. Usually there is a marked elevation of creatine kinase (CK) concentration with symptoms as described and myoglobinuria (dark coloured urine). After hard muscular work there will often be asymptomatic, but significant elevations in CK concentration, and in rare cases life-threatening rhabdomyolysis with electrolyte imbalances and acute kidney failure.
一名35岁女性因上肢水肿、力量减弱、严重活动减少及双上肢肌肉疼痛而紧急住院。她的症状在进行了三天激烈运动后出现，这些运动包括皮划艇以及大量的CrossFit引体向上动作。横纹肌溶解症是一种以肌肉坏死为特征的综合征。通常情况下，肌酸激酶（CK）浓度会显著升高，并伴有上述症状及肌红蛋白尿（尿液颜色变深）。剧烈肌肉运动后，CK浓度往往会无症状地显著升高，在罕见情况下会出现危及生命的横纹肌溶解症，伴有电解质失衡和急性肾衰竭。
