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Article

Asymptomatic Hyper-Creatine-Kinase-Emia as Sole Manifestation of Inclusion Body Myositis

by
Josef Finsterer
1,*,
Claudia Stöllberger
2 and
Gabor G. Kovacs
3
1
Krankenanstalt Rudolfstiftung
2
Second Medical Department, Krankenanstalt Rudolfstiftung
3
Institute of Neurology, Medical University Vienna, Austria
*
Author to whom correspondence should be addressed.
Neurol. Int. 2013, 5(2), e11; https://doi.org/10.4081/ni.2013.e11
Submission received: 4 March 2013 / Revised: 9 April 2013 / Accepted: 6 May 2013 / Published: 25 June 2013

Abstract

Sporadic inclusion body myositis (sIBM) usually manifests with painless weakness of the hand, finger and hip flexors. Absence of symptoms or signs, but mild hyper-CK-emia as the sole manifestation of IBM, has not been reported. We report the case of a 73-year-old male who presented with asymptomatic recurrent hyper-CK-emia ranging from 200 to 1324 U/L (n<171 U/L), since 10 years. Clinical neurologic investigation, nerve conduction studies and EMG were non-informative. Muscle biopsy surprisingly revealed sIBM. sIBM may be asymptomatic and may manifest with hyper-CK-emia exclusively. So, it has to be included in the differential diagnoses of asymptomatic hyper-CK-emia.
Keywords: neuromuscular disorder; myositis; creatine-kinase; cardiomyopathy; muscle biopsy neuromuscular disorder; myositis; creatine-kinase; cardiomyopathy; muscle biopsy

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MDPI and ACS Style

Finsterer, J.; Stöllberger, C.; Kovacs, G.G. Asymptomatic Hyper-Creatine-Kinase-Emia as Sole Manifestation of Inclusion Body Myositis. Neurol. Int. 2013, 5, e11. https://doi.org/10.4081/ni.2013.e11

AMA Style

Finsterer J, Stöllberger C, Kovacs GG. Asymptomatic Hyper-Creatine-Kinase-Emia as Sole Manifestation of Inclusion Body Myositis. Neurology International. 2013; 5(2):e11. https://doi.org/10.4081/ni.2013.e11

Chicago/Turabian Style

Finsterer, Josef, Claudia Stöllberger, and Gabor G. Kovacs. 2013. "Asymptomatic Hyper-Creatine-Kinase-Emia as Sole Manifestation of Inclusion Body Myositis" Neurology International 5, no. 2: e11. https://doi.org/10.4081/ni.2013.e11

APA Style

Finsterer, J., Stöllberger, C., & Kovacs, G. G. (2013). Asymptomatic Hyper-Creatine-Kinase-Emia as Sole Manifestation of Inclusion Body Myositis. Neurology International, 5(2), e11. https://doi.org/10.4081/ni.2013.e11

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