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Published on: May 6, 2018
Rhabdomyolysis: a narrative review
Celia Harumi Tengan1, Acary Souza Bulle Oliveira1, Alzira Alves de Siqueira Carvalho2
1Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Neurologia, São Paulo SP, Brazil.
Rhabdomyolysis, a skeletal muscle necrosis, causes pain and weakness due to elevated creatine kinase (CK). This review covers its causes, clinical findings, and associated syndromes like neuroleptic malignant syndrome and various myopathies.
Area of Science:
- Medicine
- Pathology
- Biochemistry
Background:
- Rhabdomyolysis involves acute skeletal muscle necrosis and the release of intracellular components.
- Key indicators include severe myalgia, weakness, edema, and significantly elevated serum creatine kinase (CK) levels.
Purpose of the Study:
- To provide a comprehensive overview of rhabdomyolysis in humans.
- To detail clinical and laboratory findings, etiology, treatment, and prevention strategies.
- To highlight associated clinical syndromes and muscular disorders.
Main Methods:
- This study is a narrative review.
- It synthesizes existing literature on rhabdomyolysis.
Main Results:
- Rhabdomyolysis is characterized by muscle breakdown and elevated CK.
- Associated conditions include neuroleptic malignant syndrome, serotoninergic syndrome, malignant hyperthermia, and various myopathies.
Conclusions:
- Understanding the diverse etiologies and presentations of rhabdomyolysis is crucial for diagnosis and management.
- Prompt recognition and treatment of rhabdomyolysis and its underlying causes can prevent severe complications.
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