Approach to asymptomatic creatine kinase elevation.
Cleve Clin J Med. 2016 Jan;83(1):37-42
Authors: Moghadam-Kia S, Oddis CV, Aggarwal R
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.
PMID: 26760521 [PubMed - as supplied by publisher]