Positive troponin T without cardiac involvement in inclusion body myositis.

Abstract:

:Cardiac troponin T (cTnT) is considered as a specific marker for acute myocardial infarction. Here, we present a case with elevated cTnT, determined by a third-generation assay, without signs of a myocardial lesion. Routine investigation of a 66-year-old female patient with indolent B-cell lymphoma revealed increased serum levels of creatine kinase (CK), MB fraction of CK (CK-MB), and cTnT, although she did not complain of cardiac symptoms. Electrocardiographic monitoring, echocardiography, magnetic resonance computed angiography, and percutaneous coronary angiography excluded myocardial damage. However, the close follow-up showed a steady increase of CK-MB and cTnT levels and gradual development of weakness in both thighs. A biopsy of the right quadriceps muscle led to the diagnosis of inclusion body myositis. In contrast to cTnT, cardiac troponin I could not be detected retrospectively in any of her serum samples. These results demonstrate for the first time that cTnT is elevated in patients with inclusion body myositis.

journal_name

Hum Pathol

journal_title

Human pathology

authors

Schwarzmeier JD,Hamwi A,Preisel M,Resl C,Preusser M,Sluga E,Horcher E,Shehata MM

doi

10.1016/j.humpath.2005.06.009

subject

Has Abstract

pub_date

2005-08-01 00:00:00

pages

917-21

issue

8

eissn

0046-8177

issn

1532-8392

pii

S0046-8177(05)00286-8

journal_volume

36

pub_type

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