Acute Tubular Necrosis in a Patient with March Hemoglobinuria

MARCH hemoglobinuria is a hemolytic disorder in which transient hemoglobinemia with hemoglobinuria develops in susceptible persons after strenuous exercise.1 Some patients with this disease have had transient abnormalities of the urinary sediment,2 but other renal impairments have not been reported.3 This report describes the occurrence of acute tubular necrosis in a man with march hemoglobinuria after a marathon race.Case ReportC.B. (M.G.H. 00–64–20), a 37-year-old man, was admitted to the Massachusetts General Hospital because of pigmenturia and oliguria after a 26-mile marathon race. Previously in excellent health and on no medications, he had first begun long-distance running 1 year . . .