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Rabdomyolyse som følge af hyperemesis gravidarum

Rabdomyolyse kan ses som en sjælden komplikation i forbindelse med tilstande med katabolisme og elektrolytforstyrrelser, herunder hyperemesis gravidarum. Behandlingen består i tidlig aggressiv intravenøs væsketerapi og forcerede diureser.
Forfattere
Lana Rashid Flachs Madsen & Marie Søgaard Gynækologisk-obstetrisk Afdeling, Herlev Hospital Ugeskr Læger 2017;179:V10160731
Reference: 
Ugeskr Læger 2017;179:V10160731
Blad nummer: 
Sidetal: 
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Rhabdomyolysis caused by hyperemesis gravidarum
Hyperemesis gravidarum (HG) is a condition of severe nausea and vomiting during pregnancy, accompanied by dehydration, electrolyte derangement and lack of nutrition. We describe a 26-year-old woman pregnant at 29 weeks of gestation, complaining about muscle pain and difficulties standing up after suffering from long-term HG followed by a weight loss of 35 kg. She had severe hypokalaemia and abnormally elevated muscle enzyme concentrations as a result of a massive catabolic process. We discuss severe HG as a rare cause of rhabdomyolysis and the importance of early aggressive resuscitation to avoid renal failure.

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