A patient with diabetic ketoacidosis may develop rhabdomyolysis.
Patient selection: diabetic ketoacidosis
It has been estimated that rhabdomyolysis may be present in 10% of patients with DKA.
Risk factors for rhabdomyolysis may include:
(1) trauma
(2) hyperosmolar state
(3) acidosis
(4) hypophosphatemia
(5) hypernatremia
Clinical features:
(1) The patient may complain of muscle pain or weakness.
(2) Myoglobinuria may be absent.
Laboratory findings:
(1) elevated serum CK (usually > 5 times the upper limit of normal)
The rhabdomyolysis may underly or contribute to acute renal failure.
