| Burn-induced Rhabdomyolysis and acute hepatic disorder in a patient with liver cirrhosis |
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Jung Sun Pack, Min Kuk Kim, Sun Ok Kwon, Sang Hyun Oh, Yu Mi Jang, Hong Jun Yang, Hyun Jung Jung |
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| 간경변증 환자에서 화상에 의해 발생한 횡문근융해증과 급성 간손상 |
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백정선, 김민국, 권선옥, 오상현, 장유미, 양홍준, 정현정 |
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| Abstract |
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Burns may cause early and late hepatic disorders. Late hepatic disorders are found in the convalescent stage or after recovery from the early hepatic disorder. Possible causes for early hepatic disorder are hypovolemic shock, hypoxemia, and endotoxemia, whereas possible causes for late hepatic disorder are sepsis, malnutrition, hypoxemia, existing hepatic disorder, drugs, anaesthesia with halothane, burns, and post-transfusion hepatitis. The main cause of rhabdomyolysis is trauma and a complication-like compartment syndrome, disseminated intravascular coagulation, acute renal failure, metabolic syndrome, or hepatic dysfunction can develop. Rhabdomyolysis itself can increase AST and ALT. r-GTP is a more sensitive tool for hepatic dysfunction in rhabdomyolysis than AST and ALT. We report burn-induced rhabdomyolysis and acute hepatic disorder in a patient with liver cirrhosis, with a literature review. |
| Key Words:
Burn; Hepatic disorder; Rhabdomyolysis |
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