Hypothyroid myopathy with a strikingly elevated serum creatine kinase level.

Abstract:

:Although serum creatine kinase (CK) levels are frequently modestly elevated in patients with hypothyroid myopathy, elevations in serum CK to the levels usually seen in inflammatory myopathies or dystrophies are rare. We report a patient with progressive proximal weakness and a serum CK level of over 29,000 IU/L, in whom subsequent laboratory evaluation identified profound hypothyroidism. Thyroid hormone replacement therapy resulted in resolution of clinical symptoms and a marked reduction in the serum CK level. Such a high serum CK level in a patient with hypothyroidism underscores the importance of assessing thyroid function in patients with weakness, regardless of serum CK levels, even when systemic symptoms and signs of hypothyroidism are minimal or absent.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Scott KR,Simmons Z,Boyer PJ

doi

10.1002/mus.10128

subject

Has Abstract

pub_date

2002-07-01 00:00:00

pages

141-4

issue

1

eissn

0148-639X

issn

1097-4598

journal_volume

26

pub_type

杂志文章
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