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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.

Exercise‐induced acute renal failure in a trainee cyclist without hypouricemia: Successful athletic career post‐treatment