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Retrospective comparison of renal ultrasonographic and clinical findings in patients with rhabdomyolysis

Authors
 Jae-Joon Chung  ;  Eun-Suk Cho  ;  Jeong Min Choi  ;  Jeong-Sik Yu 
Citation
 JOURNAL OF MEDICAL ULTRASOUND, Vol.28(3) : 151-155, 2020-07 
Journal Title
 JOURNAL OF MEDICAL ULTRASOUND 
ISSN
 0929-6441 
Issue Date
2020-07
Keywords
Acute kidney injury ; kidney ; rhabdomyolysis ; ultrasonography
Abstract
Background: This study evaluated the ultrasonographic and clinical findings of two groups with rhabdomyolysis, who showed abnormal or normal ultrasonographic findings of kidneys. Methods: Two groups (n = 78) of abnormal (A) and normal (B) renal ultrasonographic findings were included. Multiple laboratory findings were assessed within 2 days before or after ultrasonography. Student's t-test or Mann–Whitney U-test was used for statistical analysis. Results: The variable causes of rhabdomyolysis were intense exercise, burn, operation, shivering, and drug intoxication, etc. Group A (n = 26; M:F = 19:7) showed enlarged both kidneys, increased parenchymal thickness, and increased (n = 23, 88.5%) or decreased (n = 3, 11.5%) cortical echogenicity. Group A also showed elevated blood urea nitrogen (BUN), creatinine, potassium, and prolonged activated partial thromboplastin time (aPTT), compared with those in Group B (n = 52; M:F = 36:16), and these results were statistically significant (P < 0.01). The myoglobin in serum and urine, creatine kinase, prothrombin time, dark urine, and microscopic hematuria were not statistically different between the two groups. Conclusion: Patients with elevated BUN, creatinine, potassium, and prolonged aPTT showed the ultrasonographic findings of acute kidney injury, but other parameters were not statistically different between the two groups.
Files in This Item:
T202004332.pdf Download
DOI
10.4103/JMU.JMU_95_19
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Yu, Jeong Sik(유정식) ORCID logo https://orcid.org/0000-0002-8171-5838
Chung, Jae Joon(정재준) ORCID logo https://orcid.org/0000-0002-7447-1193
Cho, Eun Suk(조은석)
Choi, Jeong Min(최정민)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/180216
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