Steroid myopathy: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Steroid myopathy: management. This is usually normal. It may be high in the cute phase. Fully referenced neurology checklist.

Creatinine kinase (CK)

  • This is usually normal
  • It may be high in the cute phase
  • Myoglobinuria is possible in acute cases

Other muscle enzymes

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Electromyography (EMG)

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Muscle biopsy

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Quantitative muscle ultrasound

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Treatment

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Investigational treatments

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References

  1. Pereira RMR, de Carvalho JF. Glucocorticoid-induced myopathy. Joint Bone Spine 78; 2011:41-44.
  2. Ruff RL, Weissmann J. Endocrine myopathies. Neurol Clin 1988; 6:575-592.
  3. Dekhuijzen PNR, Decramer M. Steroid-induced myopathy and its significance to respiratory disease: a known disease rediscovered. Eur Respir J 1992; 5:997-1003.
  4. Dekhuijzen PN, Decramer M. Steroid-induced myopathy and its significance to respiratory disease: a known disease rediscovered. Eur Respir J 1992; 5:997-1003.
  5. Minetto MA, Caresio C, D'Angelo V, et al. Diagnostic evaluation in steroid-induced myopathy: case report suggesting clinical utility of quantitative muscle ultrasonography. Endocr Res 2018:1-11. 

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