
Exercise‐induced acute renal failure in a trainee cyclist without hypouricemia: Successful athletic career post‐treatment
Author(s) -
Shimizu Yoko,
Takaori Koji,
Maeda Sayako
Publication year - 2017
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.1002/jgf2.108
Subject(s) - medicine , myoglobinuria , anaerobic exercise , uric acid , physical therapy , surgery , cardiology , rhabdomyolysis
Acute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise ( ALPE ) is exercise‐induced acute renal failure that occurs without myoglobinuria. We describe a typical case involving an 18‐year‐old man. Generally, patients with ALPE are advised to avoid anaerobic exercise due to risk of recurrence, but our patient continued and went on to become a professional cyclist without relapse. About 51% of ALPE cases involve patients with renal hypouricemia. His serum uric acid levels were rather high, at 6.4 mg/dL. He is the first patient with ALPE to succeed as a professional athlete in an anaerobic sport.