A recent request for CKMB revealed a total CK of 778 IU/L and a CKMB of 1449
IU/L (both were measured using Roche reagents). Other tests and controls in the
batch did not reveal any such anomalies.
I have a vague recollection of this sort of effect possibly being caused by
binding of the enzyme to an immunoglobulin.
Any other ideas?
Dr D G Williams
FRCPath
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