sheeezooo
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65 y/o june..comes to ur office C/O difficulty walkin up to stairs of her appartment. exam is significant for violaceous rash on the knuckles of her hands and a rash on her eyelid..what is best initial tests?
1.ANA
2.rhumatoid factor
3.muscle biopsy
4.aldolase
5.EMG
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| pjohnson
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...muscle biopsy..
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| saadtazjam
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I go with 1.ANA
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| study_ing
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4. aldolase..inital for suspected polymyosistis
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| pjohnson
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most sensitive test-CK and aldolase
diagnostic test-muscle biopsy
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| saadtazjam
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I think it is Dermatomyositis which involves Skin-Polymyositis doesnt involve skin.Since muscle biopsy is confirmatory i chose ANA as initial.Hey study-ing cud you tell whereelse aldolase is used?As far as i know it is in Duchennes at birth.Thanks
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| study_ing
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oops ..meant dermato...sorry
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| saadtazjam
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shezooo! do u have a answer?
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| sheeezooo
Forum Guru
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4.is correct aldolase...proximal muscle weakness.Gottron,s papules..and a halitropic rash make the diagnosis of polymyosities likely..the best initial diagnostic test is either serumCPK or aldolase.
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