Berkman N, Meirow D, Katzir Z, Bar-On H
Division of Internal Medicine, Hadassah University Hospital, Jerusalem, Israel.
J Intern Med. 1993 Mar;233(3):295-7. doi: 10.1111/j.1365-2796.1993.tb00991.x.
A young, apparently healthy, soldier developed acute muscle weakness and rhabdomyolysis following prolonged exercise. The resultant myoglobinuria caused severe acute renal failure. Further investigation revealed the presence of carnitine palmitoyltransferase deficiency as the cause of the rhabdomyolysis. Renal function subsequently returned to normal. This rare metabolic disorder should be considered in cases of unexplained myoglobinuria and renal failure.
一名年轻、看似健康的士兵在长时间运动后出现急性肌肉无力和横纹肌溶解。由此产生的肌红蛋白尿导致了严重的急性肾衰竭。进一步调查发现肉碱棕榈酰转移酶缺乏是横纹肌溶解的原因。肾功能随后恢复正常。对于不明原因的肌红蛋白尿和肾衰竭病例，应考虑这种罕见的代谢紊乱。
