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 |
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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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