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Myoglobinuria: the importance of reaching a firm diagnosis--a patient with defective fatty acid oxidation.
  1. C. J. Ellis,
  2. A. G. Dewhurst,
  3. M. Cooper,
  4. D. P. Brenton,
  5. J. R. Dathan
  1. Department of Medicine, Royal South Hants Hospital, Southampton, UK.


    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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