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Testing for Stain-induced Myopathy

      To the Editor:
      The clinically important article by Antons et al.
      • Antons K.A.
      • Williams C.D.
      • Baker S.K.
      • et al.
      Clinical perspectives of statin-induced rhabdomyolysis.
      places great weight on use of the creatinine kinase test in their algorithm (Figure 2). I have been interested in whether there is any alternative testing that might be more clinically reliable.
      • Hyman M.H.
      Statin-associated myopathy with normal creatinine kinase levels.
      Have the authors any experience with alternative blood testing in light of their described limits in creatinine kinase testing?

      References

        • Antons K.A.
        • Williams C.D.
        • Baker S.K.
        • et al.
        Clinical perspectives of statin-induced rhabdomyolysis.
        Am J Med. 2006; 119: 400-409
        • Hyman M.H.
        Statin-associated myopathy with normal creatinine kinase levels.
        Ann Intern Med. 2003; 138 (1007): 12