Diagnostic problem caused by an atypical creatine kinase isoenzyme in a patient with myocardial infarction.

Abstract:

:This report describes the diagnostic problem caused by an atypical immunoglobulin-bound creatine kinase isoenzyme in a patient who had a myocardial infarction. In the presence of this atypical isoenzyme, creatine kinase isoenzyme electrophoresis was of no help in determining whether myocardial infarction had occurred. A diagnosis of myocardial infarction was confirmed by carrying out lactate dehydrogenase isoenzyme electrophoresis and finding the characteristic increase in LD1/LD2 ratio and by following the total creatine kinase, aspartate aminotransferase and lactate dehydrogenase activities over a 5-day period. Further investigations were carried out which characterized the atypical isoenzyme as an uncommon type: creatine kinase-BB bound to immunoglobulin A lambda.

journal_name

Pathology

journal_title

Pathology

authors

Campbell BG,Jones BW,Burnet J

doi

10.3109/00313029009061424

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

45-8

issue

1

eissn

0031-3025

issn

1465-3931

journal_volume

22

pub_type

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