Diagnostic Significance of Fractional Excretion of Unmeasured Anion(FEua)in Metabolic Acidosis.
- Author:
Hye Young KIM
1
;
Jin Suk HAN
;
Seo Jin LEE
;
Un Sil JEON
;
Kwon wook JOO
;
Jae Ho EARM
;
Gheun Ho KIM
;
Curie AHN
;
Suhnggwon KIM
;
Jung Sang LEE
Author Information
1. Department of Internal Medicine, College of Medicine, Chungbuk National University, Korea.
- Publication Type:Original Article
- Keywords:
Metabolic acidosis;
Acid-overproduction;
Fractional excretion of unmeasured anion
- MeSH:
Acidosis*;
Acute Kidney Injury;
Alcohol Withdrawal Delirium;
Aspartate Aminotransferases;
Blood Urea Nitrogen;
Capillary Leak Syndrome;
Causality;
Creatine Kinase;
Creatinine;
Disseminated Intravascular Coagulation;
Drinking;
Humans;
Hypokalemia;
Hypophosphatemia;
Leg;
Medical Records;
Necrosis;
Oxidoreductases;
Renal Dialysis;
Rhabdomyolysis;
Seizures;
Unconsciousness
- From:Korean Journal of Nephrology
1999;18(1):112-119
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Alcohol can cause rhabdomyolysis by either direct toxicity or associated metabolic abnormality such as hypophosphatemia and hypokalemia. It can also predispose to or cause trauma, seizures, or coma- induced ischemic pressure necrosis. In order to investigate the clinical features of acute renal failure caused by alcohol induced rhabdomyolysis, we reviewed the medical records of the 12 patients. All patients had been drinking much amounts of alcohol for several years. All patients showed elevation of muscle enzyme such as creatine phosphokinase, lactic dehydrogenase, aspartate transaminase and blood urea nitrogen and serum creatinine. Predisposing factors of rhabdomyolysis were ischemic compression due to unconsciousness and dehydration(2 cases), and hypophosphatemia and dehydration(1 case), seizure and dehydration(1 case), and only severe dehydration(3 cases). Initial symptoms were painful swelling at lesion site(5 cases), abdominal pain(2 cases), general ache(2 cases), leg pain without swelling(1 case), dyspnea(1case), and lethargy(1 case). Seven patients developed delirium tremens during recovery stage. Eight patients showed oliguric acute renal failure and 8 patients were treated with hemodialysis. Complications were disseminated intravascular coagulation(DIC)(3 cases), compartment syndrome(2 cases), capillary leak syndrome and DIC(1 case). One of 12 patients died of disseminated intravascular coagulation and other patients showed complete recovery of renal function.
