Shimizu Yoko, Takaori Koji, Maeda Sayako
Department of Nephrology Otsu Red-Cross Hospital Otsu Japan.
J Gen Fam Med. 2017 Aug 29;18(6):432-435. doi: 10.1002/jgf2.108. eCollection 2017 Dec.
Acute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise (ALPE) is exercise-induced acute renal failure that occurs without myoglobinuria. We describe a typical case involving an 18-year-old man. Generally, patients with ALPE are advised to avoid anaerobic exercise due to risk of recurrence, but our patient continued and went on to become a professional cyclist without relapse. About 51% of ALPE cases involve patients with renal hypouricemia. His serum uric acid levels were rather high, at 6.4 mg/dL. He is the first patient with ALPE to succeed as a professional athlete in an anaerobic sport.
无氧运动后伴有严重腰痛和局灶性肾缺血的急性肾衰竭（ALPE）是一种无肌红蛋白尿的运动诱发急性肾衰竭。我们描述了一例典型病例，患者为一名18岁男性。一般来说，由于复发风险，建议ALPE患者避免无氧运动，但我们的患者继续进行无氧运动，并最终成为一名职业自行车运动员且未复发。约51%的ALPE病例涉及肾性低尿酸血症患者。他的血清尿酸水平相当高，为6.4mg/dL。他是首例在无氧运动项目中成功成为职业运动员的ALPE患者。
