Recurrent Acute Kidney Injury with Severe Loin Pain and Patchy Renal Ischaemia after Anaerobic Exercise without Renal Hypouricaemia in a New Zealand European Male

Case Reports in Nephrology and Dialysis

Alana Harper¹  Richard Kelly²  David Semple³ 

[1] Adult Emergency Department, Auckland District Health Board, Auckland, New Zealand;Auckland District Health Board, Auckland, New Zealand;Department of Renal Medicine, Auckland District Health Board, Auckland, New Zealand;

关键词: acute kidney injury;    loin pain;    patchy renal ischaemia;    anaerobic exercise;    without renal hypouricaemia;   

DOI  :  10.1159/000517114

来源: DOAJ

【 摘 要 】

Acute kidney injury with severe loin pain and patchy renal ischaemia after anaerobic exercise (ALPE) is a rare clinical syndrome. ALPE has predominantly been described in Japanese and Korean populations to date. Many cases and most recurrent examples are associated with renal hypouricaemia. We describe a 28-year-old New Zealand European male without renal hypouricaemia who developed recurrent ALPE whilst performing elite-level sport. Avoiding elite-level anaerobic exercise was successful at preventing further episodes. This report confirms the first known case of ALPE in a New Zealand European male and raises the possibility that ALPE is an under-recognized condition. Long-term outcomes of recurrent ALPE remain unclear, and preventative strategies should be implemented to preserve renal function. Avoiding intense anaerobic exercise is an effective preventative strategy.

【 授权许可】

Unknown