Subject: Hemolysis
Author: ironjustice@aol.comDate: 17 Jul
http://tinyurl.com/5tdmzr
People with lupus may experience.
Dark urine
Blood in the urine (hematuria)
Proteinuria
-----------------------------
"Hemolysis"
Clinical Nephrology
Rust Urine after Intense Hand Drumming Is Caused by Extracorpuscular
Hemolysis
Diego Tobal*, Alicia Olascoaga, Gabriela Moreira, Melania Kurdián*,
Fernanda Sanchez, Maria Roselló*, Walter Alallón, Francisco Gonzalez
Martinez*, and Oscar Noboa*,
* Centro de Nefrología, Laboratorio Clínico, Departamento de
Fisiopatología, Hospital de Clínicas, Facultad de Medicina
Universidad de la República, Montevideo, Uruguay
Correspondence: Dr. Oscar Noboa, Depto de Fisiopatología Hospital de
Clinicas, Avda Italia s/n 11609, Montevideo, Uruguay. Phone/Fax:
5982-4809850; E-mail: ono...@hc.edu.uy
Background and objectives:
During Carnival, groups of 60 drummers go drumming with their hands
and marching for periods of 2 to 4 h.
The objective of this study was to determine the frequency and type of
urinary abnormalities after candombe drumming and to evaluate possible
pathogenic mechanisms.
Design, setting, participants, & measurements: For analysis of
pathogenic mechanisms, a group of individuals were prospectively
evaluated before and after candombe drumming.
Methods: Candombe drummers were recruited in January 2006, 1 wk before
prolonged drumming.
After clinical evaluation, urine and blood samples were obtained
before and immediately after drumming.
Results:
Forty-five healthy individuals (four women and 41 men),
median age 31 yr (14 to 56), were evaluated.
Predrumming urine and plasma samples were obtained for 30
individuals.
Nineteen (42%) of 45 had a previous history of rust urine emission
temporally related with candombe drumming.
After drumming, 18 of 26 showed urine abnormalities; six of 26 showed
rust urine, eight of 26 had microhematuria, and seven of 26 had
proteinuria >1 g/L.
The candombe drummers who showed rust urine after heavy drumming
presented significantly higher levels of lactate dehydrogenase and
total bilirubin when compared with those without urine abnormalities.
Haptoglobin was significantly lower in the rust urine group.
Fragmented red cells were observed in the blood smear of individuals
with rust urine.
Rust urine after drumming was associated with
previous episodes of rust urine and glucosuria.
Conclusions:
Taken together, these data confirm that rust urine is
caused by extracorpuscular hemolysis.
--------------------------------
Med Sci Monit. 2008 Jan;14(1):CS1-4. Links
Myoglobinuria caused by exertional rhabdomyolysis misdiagnosed as
psychiatric illness.
Banasik M, Ku¼niar J, Kusztal M, Porazko T, Weyde W, Klinger M.
Department of Nephrology and Transplantation Medicine, Wroc³aw
Medical University, Wroc³aw, Poland. m.bana...@interia.pl
BACKGROUND:
Rhabdomyolysis is severe and acute skeletal muscle damage resulting in
sarcolemma disruption.
During injury, intracellular muscle contents are released into the
plasma.
The consequences may cause hypovolemia, electrolyte abnormalities,
compartment syndrome, or even acute renal
failure and dialysis.
CASE REPORT:
We present the history of a patient in whom exertional rhabdomyolysis
was misdiagnosed.
A 20-year-old male police recruit was admitted to a
psychiatric hospital because of complaints about black urine and
severe thigh pain.
Serum creatinine kinase (CK) was significantly elevated at 87,335 U/
l.
Urinalysis showed brown color and cloudiness.
Serum myoglobin was also significantly increased.
Aspartate aminotransferase was elevated as was alanine
aminotransferase.
Immediate intravascular fluid hydration and hospital rest under renal,
metabolic, and hematological monitoring was performed.
CONCLUSIONS:
Gymnastic teachers and people at environmental risk of
rhabdomyolysis, such as members of the armed forces, police, and
supervisors of physical laborers, need to remember the risks of
intensive and repetitive exercise.
Symptoms such as dark urine, myalgia, and muscle weakness should
immediately arouse suspicion of rhabdomyolysis.
Especially dark-colored urine should always be investigated for the
occurrence of rhabdomyolysis.
PMID: 18172418 [PubMed - indexed for MEDLINE]
-----------------------
Rhabdomyolysis is caused by exercise.
Exercise causes hemolysis.
Snake venom causes Rhabdomyolysis.
Snake venom causes hemolysis.
Hemolysis Causes Rust Urine
Rhabdomyolysis Causes Rust Urine
Erythrocytosis Causes Rust Urine.
Erythrocytosis Causes Hemolysis.
http://members.tripod.com/~baggas/rhabdo.html
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