1. 1.

    Exercise-induced acute renal failure (ALPE) frequently develops in young healthy males after repeated anaerobic exercise such as a 200-m race. The recurrence rate is high.

  2. 2.

    The risk of ALPE is high in patients with renal hypouricemia, and in those who have a cold and take antipyretic analgesics before exercise.

  3. 3.

    Severe loin pain persists for 5 days (mean). Because of the pain, patients are often misdiagnosed as having ureteral stone.

  4. 4.

    Plain computed tomography (CT) after the administration of contrast medium (delayed CT) shows wedge-shaped contrast enhancement in the bilateral kidneys, which persists for 1–3 days.

  5. 5.

    Many patients have non-oliguric acute renal failure, with a good prognosis. However, some patients require dialysis. For treatment, hydration must be controlled, and nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided if possible. When oliguria is observed, dialysis therapy should be performed, as described for acute tubular necrosis.



Compute Tomography Recurrence Rate Contrast Medium Good Prognosis Acute Renal Failure 
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© Springer 2007

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