Titre
Increased creatinine kinase and rhabdomyolysis in anorexia nervosa.
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Walder, A.
Auteure/Auteur
Baumann, P.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1098-108X
Statut éditorial
Publié
Date de publication
2008
Volume
41
Numéro
8
Première page
766
Dernière page/numéro d’article
767
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
OBJECTIVE: A male adolescent with an anorexia nervosa-restricting type reported about his habit to carry out severe exercises to hold his weight. Seven weeks after admission to hospital, laboratory findings showed an extremely high level of serum creatinine kinase (CK) (>20,000 U/L) without clinical signs for rhabdomyolysis or renal depression.
METHOD: Clinical observation and routine laboratory controls in the patient, who participated in our special program for patients with eating disorder.
RESULTS: To minimize the risk for renal failure, a treatment with bicarbonate for volume repletion, forced diuresis and urinary alkalinisation over 24 hr were initiated. After 12 hr, CK decreased to almost 50% and it normalized then within 10 days.
CONCLUSION: This is the first reported case of anorexia nervosa with this extremely high level of serum CK, induced by excessive physical activity.
METHOD: Clinical observation and routine laboratory controls in the patient, who participated in our special program for patients with eating disorder.
RESULTS: To minimize the risk for renal failure, a treatment with bicarbonate for volume repletion, forced diuresis and urinary alkalinisation over 24 hr were initiated. After 12 hr, CK decreased to almost 50% and it normalized then within 10 days.
CONCLUSION: This is the first reported case of anorexia nervosa with this extremely high level of serum CK, induced by excessive physical activity.
PID Serval
serval:BIB_213E3145393B
PMID
Date de création
2008-06-09T07:17:50.100Z
Date de création dans IRIS
2025-05-20T13:20:18Z