RT Journal Article
SR Electronic
T1 Approach to asymptomatic creatine kinase elevation
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 37
OP 42
DO 10.3949/ccjm.83a.14120
VO 83
IS 1
A1 Siamak Moghadam-Kia
A1 Chester V. Oddis
A1 Rohit Aggarwal
YR 2016
UL http://www.ccjm.org/content/83/1/37.abstract
AB How to manage a patient who has an elevated serum creatine kinase (CK) level but no or insignificant muscle-related signs and symptoms is a clinical conundrum. The authors provide a systematic approach, including repeat testing after a period of rest, defining higher thresholds over which pursuing a diagnosis is worthwhile, and evaluating for a variety of nonneuromuscular causes. They also outline a workup for neuromuscular causes.