Approach to asymptomatic creatine kinase elevation.
Approach to asymptomatic creatine kinase elevation.
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DOI：
10.3949/ccjm.83a.14120
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发表时间：
2016-01
影响因子：
6.1
通讯作者：
Aggarwal R
中科院分区：
文献类型：
--
作者：
Moghadam-Kia S;Oddis CV;Aggarwal R
如何管理血清肌酸激酶（CK）水平升高但没有或不明显的肌肉相关体征和症状的患者是一个临床难题。作者提供了一种系统的方法，包括休息一段时间后重复测试，定义更高的阈值，在此阈值上进行诊断是值得的，并评估各种非神经肌肉原因。他们还概述了神经肌肉原因的检查。
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.