ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2016, Vol. 25 ›› Issue (6): 579-583.DOI: 10.3969/cndt.j.issn.1006-298X.2016.06.016

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低尿酸血症、运动后尿量减少、血清肌酐升高

  

  • 出版日期:2016-12-28 发布日期:2017-01-03

Hypouricemia and exerciseinduced acute kidney injury

  • Online:2016-12-28 Published:2017-01-03

摘要:

青年男性,因“运动后尿量减少、纳差1周,血清肌酐升高5h”入院。患者剧烈运动后急性肾损伤(AKI),伴明显的低尿酸血症,经过大约2周的水化治疗后肾功能完全恢复正常。实验室检查示尿酸排泄分数(FEUA)升高,诊断为肾性低尿酸血症,运动诱发的急性肾损伤(EIAKI),基因学检查示SLC2A9基因突变。临床需重视并积极寻找低尿酸血症的原因。

Abstract:

A 32yearold man suffered from acute kidney injury after exercise was reported herein. Laboratory tests revealed persistent hypouricemia and elevated fraction excretion of uric acid which demonstrated renal hypouricemia. Monogenetic mutation analysis demonstrated gene mutations of SLC2A9 gene which encoded glucose transporter 9 protein, a uric acid transporter located at proximal convoluted tubule. His renal function recovered completely after approximately 2 weeks of hydration treatment.