title: The clinical laboratory evaluation of the patient with noninflammatory myopathy.
abstract: The investigations used to diagnose an inflammatory muscle disease include history and physical examination, evaluation of serum levels of enzymes derived from skeletal muscle, electromyography, magnetic resonance imaging, and muscle histology. The evaluation of patients who may have noninflammatory myopathy includes, but is not limited to, these methods. Additional tools that may be useful include measurements of additional biochemistries, the forearm ischemic exercise test, magnetic resonance spectroscopy, and special tests on muscle tissue. Reports published in the past year have improved and expanded our understanding of the numerous noninflammatory myopathies and how these tools can be used more effectively.
authors.affiliation: Department of Internal Medicine, The University of Oklahoma College of Medicine-Tulsa, 4502 East 41st Street, Tulsa, OK, 74135, USA. Robert-Wortmann@ouhsc.edu
authors.forename: R L
authors.initials: RL
authors.lastname: Wortmann
authors.forename: G D
authors.initials: GD
authors.lastname: Vladutiu
mesh_terms: D000328:Adult; D001706:Biopsy; D002648:Child; D004796:Clinical Enzyme Tests; D003402:Creatine Kinase / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000201:enzymology / Q000473:pathology; D009135:Muscular Diseases / Q000175:diagnosis* / Q000378:metabolism / Q000473:pathology; D013997:Time Factors
chemical_list: D003402:Creatine Kinase