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      A Young Man with Acute Renal Failure and Severe Loin Pain

      , , , ,

      Nephron

      S. Karger AG

      Renal failure, exercise-induced, Loin pain

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          Abstract

          The first case of exercise-induced acute renal failure (EIARF) is reported measuring the blood flow and arterial resistance in the kidney by pulsed Doppler ultrasound. A 20-year-old Japanese male suffered from severe loin pain and non-oliguric acute renal failure after strenuous exercise. Serum myoglobin and creatine phosphokinase were normal and urinary myoglobin was not detectable. The Doppler pattern in several segmental arteries showed a slow end-diastolic velocity (EV) and a high resistance index (RI), indicating increased renal vascular resistance, which suggested severe renal vasoconstriction. Three days later, the EV had apparently increased and the RI normalized in accordance with improvement of renal function. The ultrasound Doppler technique is useful for the detection of a decrease in arterial blood flow on real time and for the diagnosis of EIARF.

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          Author and article information

          Journal
          NEF
          Nephron
          10.1159/issn.1660-8151
          Nephron
          S. Karger AG
          1660-8151
          2235-3186
          1997
          1997
          23 December 2008
          : 76
          : 2
          : 215-217
          Affiliations
          Division of Nephrology, First Department of Medicine, Osaka University School of Medicine, Osaka, Japan
          Article
          190171 Nephron 1997;76:215–217
          10.1159/000190171
          9200414
          © 1997 S. Karger AG, Basel

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          Page count
          Pages: 3
          Categories
          Case Report

          Cardiovascular Medicine, Nephrology

          Renal failure, exercise-induced, Loin pain

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