대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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운동, 알코올, 약물 등 복합적 요인으로 유발된 횡문근융해증 환자 치험 1례

A Case Report of Rhabdomyolysis Induced by a Combination of Exercise, Alcohol, and Medication

  • 진준수 (국립중앙의료원 한방내과) ;
  • 이희정 (국립중앙의료원 한방신경정신과) ;
  • 민백기 (국립중앙의료원 침구과) ;
  • 공원호 (삼세한방병원 한방내과) ;
  • 서호석 (국립중앙의료원 한방내과) ;
  • 김진원 (국립중앙의료원 한방내과)
  • Jin, Joon-soo (Dept. of Internal Medicine of Korean Medicine, National Medical Center) ;
  • Lee, Hee-jung (Neuropsychiatry, National Medical Center) ;
  • Min, Baek-ki (Acupuncture & Moxibustion, National Medical Center) ;
  • Kong, Won-ho (Dept. of Internal Medicine of Korean Medicine, Samse Hospital of Korean Medicine) ;
  • Seo, Ho-seok (Dept. of Internal Medicine of Korean Medicine, National Medical Center) ;
  • Kim, Jin-won (Dept. of Internal Medicine of Korean Medicine, National Medical Center)
  • 투고 : 2018.08.01
  • 심사 : 2018.10.25
  • 발행 : 2018.10.30
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초록

Rhabdomyolysis is a syndrome that evokes either myopathy or cola-colored urine with elevated creatine kinase and myoglobin levels. The most common complication of rhabdomyolysis is acute renal failure (ARF). A large quantity of fluid must be injected promptly the first time symptoms appear, whereas sequela of symptoms has remained in the long run. In this report, a 58-year-woman was diagnosed with ARF due to rhabdomyolysis induced by exercise, alcohol, and medication. A treatment of acupuncture and herbal medicines was carried out for over 2 months. To evaluate the condition of the patient's lower limb, a short form of the McGill Pain Questionnaire, Visual Analogue Scale (VAS), European Quality of Life-5 Dimensions (EQ-5D), and Manual Muscle Test (MMT) points were used. As a result, clinical symptoms and quality of life improved noticeably after treatment with Korean medicine. This suggests that Korean medicine has an effect on rhabdomyolysis.

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참고문헌

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