I wish to underline the the difference between a classical case
of rhabdomyolysis with a convincing
history muscle pain and tenderness, renal impairment and a CK > say 100,000
in which the diagnosis is not in doubt and in which a renal physician
would not find a urine myoglobin of any great (additional) value and a more
borderline case in which urine myoglobin might well be a crucial piece of
evidence. I suspect this may be a situation where it may be difficult
to generalise. Probably by the time a case gets to a renal physician
the diagnosis is not in doubt and it is a serious case. They may well not
see the full spectrum of presenation including the mild or borderline case.
Julian barth writes
Julian Barth writes
this is exactly the point. Is urine myoglobin necessary for the
diagnosis or management? Our renal physicians state that they do not
use, or need, a myoglobin for these patients.
>>
james falconer smith
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