What is the CK-MB? Macro forms are MM. If anyone still has an
electrophoretic method it is the definitive method. What is his
Troponin? We have a patient with a CK-MM macroform who delights in binge
drinking develops atypical chest pain and consequently has a raised Ck
and Alt [from the drinking] on admission Tropnin measurement sorted him
out.
Ian D Watson
In message <[log in to unmask]>, Dr D G Williams <david-
[log in to unmask]> writes
>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
>[log in to unmask]
>
>
>
--
Dr Ian D Watson
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