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2015 ; 16
(ä): 118
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Rhabdomyolysis-induced acute kidney injury in a cancer patient exposed to
denosumab and abiraterone: a case report
#MMPMID26220655
Neyra JA
; Rocha NA
; Bhargava R
; Vaidya OU
; Hendricks AR
; Rodan AR
BMC Nephrol
2015[Jul]; 16
(ä): 118
PMID26220655
show ga
BACKGROUND: Denosumab and abiraterone were approved by the United States Food and
Drug Administration in 2011 for the treatment of metastatic castration-resistant
prostate cancer. Neither denosumab nor abiraterone is known to cause
rhabdomyolysis. CASE PRESENTATION: A 76-year-old Caucasian man with metastatic
prostate cancer presented with non-oliguric severe acute kidney injury (AKI) 3
weeks after receiving simultaneous therapy with denosumab and abiraterone. The
patient had been on statin therapy for more than 1 year with no recent dose
adjustments. His physical exam was unremarkable. Blood work on admission revealed
hyperkalemia, mild metabolic acidosis, hypocalcemia, and elevated creatine kinase
(CK) at 44,476 IU/L. Kidney biopsy confirmed the diagnosis of
rhabdomyolysis-induced AKI. The patient responded well to intravenous isotonic
fluids and discontinuation of denosumab, abiraterone, and rosuvastatin, with
normalization of CK and recovery of kidney function. CONCLUSION: We report the
first case of biopsy-proven rhabdomyolysis-induced AKI in a cancer patient
acutely exposed to denosumab and abiraterone. Whether one of these drugs
individually, or the combination, was the bona fide culprit of muscle breakdown
is unknown. Nonetheless, our report is hypothesis-generating for further
investigations on the effect of these drugs on muscle cells.