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Rabdomiyoliz ve Hipovolemiye Bağlı Akut Üremi ile Başvuran Nefrotik Sendromlu Olgu Sunumu

Case Report of An Acute Uremia Secondary to Rhabdomyolysis and Hipovolemia

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Abstract (2. Language): 
Rhabdomyolysis is the rapid breakdown of skeletal muscle tissue due to injury to muscle tissue and can lead to acute renal failure in the case of underlying hypovolemia and acidosis. We present a case with nephrotic syndrome that was admitted to our nephrology department with acute uremia, had a oneweek history of diarrhea and at the beginning was thought to be acute renal failure secondary to dehydratation. We considered rhabdomyolysis as we detected a high creatinini phospho kinase (CPK) level in the laboratory examination and we learned that the patient had a history of trauma to the ankle. We want to emphasize the importance of the anamnesis for diagnosis and treatment.
Abstract (Original Language): 
Rabdomiyoliz kas harabiyeti sonrası oluşan bir tablodur. Hipovolemi ve asidozun eşlik ettiği durumlarda akut böbrek yetmezliği (ABY) gelişimine neden olabilir. Yazımızda akut üremi ile başvuran bir haftalık ishal öyküsü olan ve başlangıçta dehidratasyona bağlı ABY olarak değerlendirilen, tetkiklerde kreatinin fosfakinaz yüksek saptanması üzerine rabdomiyoliz düşündüğümüz ve ayak bileğinde travma hikayesi olduğunu öğrendiğimiz nefrotik sendromlu bir olgu sunulmuş, anamnezin tanıdaki ve tedaviyi yönlendirmedeki önemi vurgulanmıştır.
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