Korean J Med > Volume 86(2); 2014 > Article
The Korean Journal of Medicine 2014;86(2):258-262.
Published online February 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.2.258   
A Case of Polymyositis with Normal Creatine Kinase
Min Sun Park1, Oh Kyung Kwon1, Hyo Sun Kim1, Won Jae Shin1, Sang Hak Han2, Myung Sun Hong3, Kyeong Min Son1
1Departments of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea
2Departments of Pathology, Hallym University College of Medicine, Chuncheon, Korea
3Departments of Radiology, Hallym University College of Medicine, Chuncheon, Korea
Creatine kinase 증가가 없었던 다발성근염 1예
박민선1, 권오경1, 김효선1, 신원재1, 한상학2, 홍명선3, 손경민1
1한림대학교 의과대학 내과학교실
2한림대학교 의과대학 병리학교실
3한림대학교 의과대학 영상의학교실
Correspondence: 
Kyeong Min Son, Tel: +82-33-240-5932, Email: agnes@hallym.or.kr
Received: 28 May 2013   • Revised: 26 July 2013   • Accepted: 2 September 2013
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Proximal muscle weakness can be induced by many diseases, such as muscular dystrophies, inflammatory muscle diseases, and polymyalgia rheumatica. Differential diagnosis of these diseases is important. The patient had proximal muscle weakness with a normal creatine kinase (CK) level. Our initial diagnosis was polymyalgia rheumatica because the CK level was normal. The patient was treated with low-dose corticosteroid. However, the muscle weakness did not improve. The diagnosis of polymyositis was confirmed by a muscle biopsy. We suggest that if the patient has typical symptoms with normal CK, then evaluations for inflammatory muscle diseases are essential. (Korean J Med 2014;86:258-262)
Key Words: Polymyositis; Creatine kinase; Aldolase
주제어: 다발성 근염; 크레아틴키나아제; 알돌라아제


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