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葡萄糖-6-磷酸脱氢酶缺乏症导致的严重横纹肌溶解症。

Severe Rhabdomyolysis in Glucose-6-Phosphate Dehydrogenase Deficiency.

机构信息

Department of Hematology/Oncology, Saint Joseph University Medical Center, Paterson, New Jersey.

Department of Internal Medicine, Saint Michael's Medical Center, New York Medical College, Newark, New Jersey.

出版信息

Am J Med Sci. 2020 Jul;360(1):72-74. doi: 10.1016/j.amjms.2020.03.018. Epub 2020 Apr 2.

Abstract

Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency is an X-linked genetic disorder associated with intravascular hemolysis. Rhabdomyolysis with myoglobinuria in a patient with G6PD deficiency is a very rare manifestation, in fact, to the best of our knowledge, only a few case reports have been published in the literature to date. Herein, we report an unusual presentation of a 33-year-old male with G6PD deficiency with multiple episodes of severe rhabdomyolysis with no significant concurrent hemolysis. This case supports the hypothesis that rhabdomyolysis may be a rare manifestation of G6PD deficiency, though the exact causation still remains unclear.

摘要

葡萄糖-6-磷酸脱氢酶(G6PD)缺乏症是一种与血管内溶血相关的 X 连锁遗传疾病。患有 G6PD 缺乏症的患者发生横纹肌溶解伴肌红蛋白尿是一种非常罕见的表现,实际上,据我们所知,迄今为止,文献中仅报道了少数几例病例报告。在此,我们报告了一例不常见的 G6PD 缺乏症患者,该患者 33 岁,男性,多次发生严重的横纹肌溶解症,且无明显的同时性溶血。该病例支持这样一种假说,即横纹肌溶解症可能是 G6PD 缺乏症的一种罕见表现,尽管确切的病因仍不清楚。

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