Most certainly.
One of our technicians (yes it was that long ago) measured his CK before
and after running a marathon. Although it had been normal before it was
still in the tens of thousands next morning and returned to normal after
several days.
I would feel that no further investigation is needed.
Michael
Dr C M Colley
Consultant Chemical Pathologist
Great Western Hospital
Swindon SN3 6BB
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Robert Lord
Sent: 26 August 2009 10:33
To: [log in to unmask]
Subject: High CK - ?further investigation
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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