A case of autoimmune induced necrotizing myopathy

Jaison Udani; Kirill Alekseyev; Malcolm Lakdawala; Jitendra Patel; Marc Ross

doi:10.18203/2349-3933.ijam20162535

Authors

Jaison Udani Department of Physical Medicine and Rehabilitation, Kingsbrook Jewish Medical Center, Brooklyn, NY, USA
Kirill Alekseyev Department of Physical Medicine and Rehabilitation, Kingsbrook Jewish Medical Center, Brooklyn, NY, USA
Malcolm Lakdawala Department of Physical Medicine and Rehabilitation, Kingsbrook Jewish Medical Center, Brooklyn, NY, USA
Jitendra Patel Department of Physical Medicine and Rehabilitation, Kingsbrook Jewish Medical Center, Brooklyn, NY, USA
Marc Ross Department of Physical Medicine and Rehabilitation, Kingsbrook Jewish Medical Center, Brooklyn, NY, USA

DOI:

https://doi.org/10.18203/2349-3933.ijam20162535

Keywords:

Autoimmune, Necrotizing myopathy, Rhabdomyolysis, Creatine kinase, Debility, Rehabilitation

Abstract

A 31-year-old female, with no previous past medical history, presented to the emergency department (ED) two weeks after falling while moving furniture complaining of increasing weakness and swelling. Initially, she had minor ankle pain after falling but this progressed to bilateral ankle pain and eventually bilateral shoulder pain. Creatine Kinase (CK) levels were drawn and results showed a level of 30,186. She was diagnosed with rhabdomyolysis and aggressive IV hydration was initiated. After 3 weeks, her CK levels did not decrease below 15,000. A muscle biopsy was performed and revealed a necrotizing myopathy with high probability of autoimmune etiology.

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