Myoglobinuria: the importance of reaching a firm diagnosis--a patient with defective fatty acid oxidation.

Ellis, C J; Dewhurst, A G; Cooper, M; Brenton, D P; Dathan, J R · Postgrad Med J · 1990

case_report · Level V

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Abstract

A 52 year old man presented with myoglobinuria-induced acute renal failure requiring dialysis. Despite renal biopsy, the cause of the myoglobinuria was not established until he re-presented a year later with a milder episode. At this stage investigations, including a muscle biopsy, demonstrated a defect in fatty acid oxidation amenable to dietary and lifestyle advice. This report emphasizes the importance of reaching a definitive diagnosis in myoglobinuria.

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