- Alcohol
- PM, DM, IBM
- DM : Immune complex
- PM : T cell mediated
- IBM : T cell mediated, amyloid deposition
可能 Asymetric and distal
不太會痛, weakness 為主
- Steroid induced, adrenal insufficency
Atrophy為主 --> CK 不會高
比較不痛 No myalgia, Muscle tenderness,
藥量減少 3-4 weeks 後症狀慢慢改善
Glucocorticoid myopathy is unusual in patients treated with
< 10 mg/day of prednisone or its equivalent.
- Hypothyroid, Parathyroid function
- Drug induced ( Statin, colchicine )
- Metabolic :
- Electrolyte ( K, Ca )
- Glycogen storage disease
- Lipid storage disease
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