Abstract

Comments and Corrections1 July 1973Creatine Phosphokinase ElevationCHARLES K. TASHIMA, M.D.CHARLES K. TASHIMA, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-79-1-140_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: The recent reports (1-3) on the causes of elevated creatine phosphokinase (CPK) in noncardiac conditions call for emphasis on its occurrence in many different situations.Levitan's case (1) of elevated CPK in an alcoholic who developed acute pancreatitis and lactic acidosis while on phenformin therapy made me recall two patients with puzzling increases of CPK. Both patients were known alcoholics prone to alcohol binges. The CPK levels were elevated 8 to 16 times the normal values and remained elevated for many days after admission. After numerous studies in one of these patients, which included endocrine, neuromuscular, and...

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