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Muscle biopsy (vastus lateralis), necrotising myopathy.

Muscle biopsy (vastus lateralis), necrotising myopathy.

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Presentation: An 85-year-old farmer developed disabling progressive proximal limb weakness and dysphagia after 10 years of statin therapy. Diagnosis: Creatine kinase was elevated, and electromyography demonstrated myopathic abnormalities. A muscle biopsy confirmed a necrotising myopathy. Serum 3-hydroxy-3-methylglutaryl coenzyme A reductase (HMGC...

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... showed myopathic motor units and fibrillation potentials. A muscle biopsy showed a necrotising myopathy (Figure 2). A myositis antibody panel was sent. ...

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