Reviewing a set of medical notes today on a 24 yr old male
who was admitted in July with a CK of 35,825. Swelling of
both arms having spent all day laying slabs in his garden.
Apparently had similar episode in Jan following exercise
at gym. Otherwise well. Medication = inhalers for asthma.
O/E muscles in both arms swollen and tender. Other tests –
TSH = normal, CRP = normal, U+E = normal, FBC = normal,
ALT = 165, LDH = 1243. Elevated urine myoglobin = 124
ug/L. Treated with iv fluids. CK = 7203 when discharged 3
days later. No follow up has been arranged.
Do you see this kind of self induced increase in CK due to
strenuous exercise or should I be suggesting follow up
regarding investigation of a possible metabolic myopathy?
Many thanks
Rob
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