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myoglobinuria

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my·o·glo·bi·nu·ri·a (m-glb-nr-)
n.
Excretion of myoglobin in the urine.

Myoglobinuria
Reddish urine caused by excretion of myoglobin, a breakdown product of muscle.

myoglobinuria
[-glō′binoo͡r′ē·ə]
Etymology: Gk, mys + L, globus + Gk, ouron, urine
the presence of myoglobin, an oxygen-storing pigment of muscle tissue, in the urine. The condition usually occurs after massive muscle injury, physical trauma, or electrical injury.

myoglobinuria [mi″o-glo″bin-u´re-ah]
the presence of myoglobin in the urine.

myoglobinuria
the presence of myoglobin in the urine. It is evidence of severe muscle degeneration, though all such degenerations do not necessarily lead to myoglobinuria; it depends on the content of the pigment in the muscle and the renal threshold for it. The urine is red to dark red-brown, but in severe cases may be almost black.
Enlarge picture
Myoglobinuria in a horse with exertional myopathy. By permission from Knottenbelt DC, Pascoe RR, Diseases and Disorders of the Horse, Saunders, 2003

paralytic myoglobinuria
see paralytic myoglobinuria.

myoglobinuria
Internal medicine The loss of myoglobin in urine
Myoglobinuria, etiology  
Connective Tissue Disease Polymyositis, dermatomyositis
Hereditary Carnitine palmityl transferase deficiency, glycogen storage disease type V–phosphorylase deficiency, McArdle's disease, myopathies associated with glycogen or lipid storage, paroxysmal familial myoglobinuria, malignant hyperthermia, periodic paralysis
Infection
 Bacteria–eg, Legionnaire's disease
 Parasites–eg, trichinosis, toxoplasmosis
 Viral–eg, EBV, influenza, herpes
Toxins Alcohol–alcoholic myopathy, carbon monoxide, phencyclidine–PCP, 'angel dust', ethylene glycol, insect venom, some diuretics, Haff disease–historic interest
Trauma Crush injury, excess/prolonged physical exertion–eg, marathon running, severe muscle injury, crush injury
Etcetera Hyperthermia, infarction due to vascular occlusion, seizures
The diagnosis is based on clinical suspicion–especially with bright red urine and ↑ CK


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5 Laboratory abnormalities associated with rhabdomyolysis include myoglobinuria, causing pigmenturia.
Other consequences of PHS include worsened Parkinson's, deep vein thrombosis, disseminated intravascular coagulation, rhabdomyolysis, and renal failure resulting from myoglobinuria.
Legionnaires' disease associated with rhabdomyolysis and myoglobinuria.
 
 
 
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