Clinically effective CK-MB reporting: How to do it?

How to Do It

© 2003 Blackwell Publishing Ltd tion for nerve biopsy refl ects the diagnosis most often sought in this context, namely a multifocal neuropathy due to vasculitis, which may be tissue-specifi c. Many other conditions, however, can be diagnosed or suggested by the fi ndings on nerve biopsy (Box 1). The potential usefulness of the investigation must be balanced against the risk of complications (l...

How to Do It

How to Do It

THE PARAMETERS OF SINGLE FIBRE EMG To detect abnormal neuromuscular transmission, two parameters are analysed: ‘jitter’ as an indicator of irregularity of neuromuscular transmission, and ‘blocking’ as an indicator of failure of transmission (Stålberg and Trontelj 1994). Each lower motor neurone arising from an anterior horn of the spinal cord connects with a number of muscle fi bres via the ter...

Macro-CK and CK-BB Contributing to Sham CK-MB Elevation

A 65-year-old man in whom an inferior vena cava filter had been implanted for deep vein thrombosis was admitted to the cardiology department due to appetite loss and lumbago. Laboratory data showed increased total creatinine kinase (CK, 796 U/L, Picture 1, left) and CK-MB (1,213 U/ L), which exceeded the total CK value. Electrophoresis showed, in addition to an increase in CK-BB, a peak that mi...

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