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KMID : 0604620060130020109
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Dongguk Journal of Medicine
2006 Volume.13 No. 2 p.109 ~ p.116
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A case of acute alcoholic myopathy
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Ryu Ki-Hyung
Choi Jong-Ho
Kwon Bum-Sun
Park Jin-Woo
Yun Tae-Sang
Kim Young-Sung
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Abstract
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Acute alcoholic myopathy progresses in number work after symptoms onset of edematous myalgia and so on for stalk of rare disease that happen in alcoholist 1%. This disease need fast diagnosis and treatment because can cause fetal renal injury by rhadomyolysis. 46-year-old man patient who has drunken soju 3 bottles every day 20 years explained both sides shoulder and upper limbs serious myalgia to address on source coming to help do. Upper limbs and all lower limbs of manual muscle test were Good grade in physical examination, but to core contraction serious pain did complaint and endurance by ache was decreased fairly. There was myalgia (VAS 8) for stalk both shoulder and arm and range of motion of all joint were normal. Serum CK 2287 U/L, myoglobin 437 ng/ml, AST 135 U/L were increased in laboratory finding, but serum phosphate and potassium were within normal limits. Needle electrodiagnostic findings at most proximal muscle of upper extremity in electrodiagnostic study is abnormal spontaneous activity at rest and low amplitude, short duration, low amplitude polyphasic motor unit action potential on minimal volition. The finding of muscle biopsy at left biceps brachialis was revealed alcoholic myopathy. Edematous myalgia (VAS 8) was gone to thigh after 1 week. Enforced bed rest and supportive care, and patient did not complain pain after 1 month, and he discharged in state that can achieve normal gait pattern and independent activities of daily living.
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KEYWORD
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alcoholic, myopathy, peripheral neuropathy, myalgia
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