Abstract
Dr. Diogo Fraxino de Almeida – Avenida Independencia 258/405 87015-020 Maringa PR Brasil. E-mail: diogofraxino@hotmail.com Asymptomatic hyperCKemia can be a clinical challenge for physicians, although its long term prognosis seems benign. The causes usually include heavy exercise practice, muscle injury, drug-induced myopathy, chronic alcoholism, hypothyroidism, clinically silent myopathies, and susceptibility to malignant hyperthermia. A frequently missed cause in women is the carrier status of the Duchenne muscular dystrophy. We report a case and discuss its investigational approach.
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