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Asymptomatic hyper-creatine-kinase-emia as sole manifestation of inclusion body myositis.
[inclusion body myositis]
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
.
Diseases
Validation
Diseases presenting
"muscle biopsy"
symptom
cadasil
canavan disease
cohen syndrome
epidermolysis bullosa simplex
familial mediterranean fever
focal myositis
inclusion body myositis
neuralgic amyotrophy
pyomyositis
pyruvate dehydrogenase deficiency
sneddon syndrome
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