We have a 59 year old male who has had a major myocardial infarction in
the last twelve months, from which he has made a very good recovery. His
CK levels have remained persistently elevated (450 - 550 IU/L) for some
time, but clinically he is well, and there is no obvious evidence of a
myopathy. He does not drink alcohol to excess (according to his GP)
We are awaiting the results of repeat CK, thyroid functions. and LFT's.
An antibody screen was normal, and the last recorded ESR was 10. The
best (possible) diagnosis is that the patient seems to have a slow
burning polymyositis/myopathy.
While appreciating that this should be a decent case for Gordon Challand
to post on the list, I would appreciate answers on the following points
ASAP:-
Does anybody measure Aldolase any more (It's not on Assay Finder)?
Does anybody measure CK isoenzymes by electrophoresis?
Is there any other test that can be performed in this case?
All suggestions will be gratefully recieved.
Many Thanks
David Williams
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