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10 Possible Causes for Creatine Phosphokinase Increased, Percussion Myotonia, Positive Gower's Sign

  • Muscular Dystrophy

    Myotonia (prolonged muscle contraction) occurs spontaneously or is elicited by voluntary activity or by mild stimulation, such as tapping on a muscle (percussion myotonia)[neuropathology-web.org] The diagnosis of muscular dystrophy is based on the results of muscle biopsy, increased creatine phosphokinase (CpK3), electromyography, and genetic testing.[en.wikipedia.org] Boys with DMD demonstrate a positive Gowerssign, a maneuver used by individuals with proximal muscle weakness to rise from a seated position.[natera.com]

  • Limb-Girdle Muscular Dystrophy

    Patients with myotonic dystrophy type 1 may present subtle myotonia and it may be necessary to search for tenar muscle percussion myotonia 15.[doi.org] We present a 19-year-old girl with epilepsy and elevated creatine phosphokinase (CPK) concentration.[ncbi.nlm.nih.gov] We report a Saudi Arabian family with weakness in limb-girdle distribution: waddling gait, positive Gowers' sign, and marked muscle atrophy in the shoulder and pelvic girdle[ncbi.nlm.nih.gov]

  • Autosomal Dominant Limb-Girdle Muscular Dystrophy Type 1C

    Myotonia (prolonged muscle contraction) occurs spontaneously or is elicited by voluntary activity or by mild stimulation, such as tapping on a muscle (percussion myotonia)[neuropathology-web.org] A blood test reveals an increase in the level of an enzyme known as creatine phosphokinase (CPK).[geneticsofpregnancy.com] Gower’s sign was positive. Winging of scapula was present.[jcdr.net]

  • Sarcotubular Myopathy

    There was no actionor percussion myotonia, or muscle rippling. The tendonreflexes and sensory examination were normal.[documents.tips] PHOSPHOKINASE INCREASED Abnormality of the musculature ... ...[familydiagnosis.com] Gowers sign.[docslide.com.br]

  • Autosomal Dominant Limb-Girdle Muscular Dystrophy Type 1D

    Myotonia (prolonged muscle contraction) occurs spontaneously or is elicited by voluntary activity or by mild stimulation, such as tapping on a muscle (percussion myotonia)[neuropathology-web.org] A blood test reveals an increase in the level of an enzyme known as creatine phosphokinase (CPK).[geneticsofpregnancy.com] Gower’s sign was positive. Winging of scapula was present.[jcdr.net]

  • Upper Limb Hypertrophy

    No percussion myotonia or involuntary movements were noted. Sensory examination was normal and tendon reflexes were elicited normally and symmetric.[amhsjournal.org] Laboratory tests, including sedimentation rate and creatine phosphokinase revealed no abnormalities.[karger.com] A child who must use their hands to get up off the floor, usually by pushing against their own body (or walking-up their own body) is said to have a positive Gower test, or[pmmonline.org]

  • Classic Multiminicore Myopathy

    […] nigricans Hypertriglyceridemia Atrial fibrillation Macrocephaly Accelerated skeletal maturation Recurrent bacterial infections Insulin resistance Epidermal acanthosis Hirsutism Percussion[mendelian.co] She had proximal muscle weakness and was positive for Gowerssign. She had difficulty in bending and turning her neck fully.[ncbi.nlm.nih.gov] […] variability in muscle fiber diameter Constipation Hypoventilation Hypertension Mildly elevated creatine phosphokinase Muscular dystrophy Infantile onset Heterogeneous Facial[mendelian.co]

  • Autosomal Dominant Limb-Girdle Muscular Dystrophy Type 1B

    Myotonia (prolonged muscle contraction) occurs spontaneously or is elicited by voluntary activity or by mild stimulation, such as tapping on a muscle (percussion myotonia)[neuropathology-web.org] A blood test reveals an increase in the level of an enzyme known as creatine phosphokinase (CPK).[geneticsofpregnancy.com] In his adolescence, he developed proximal leg weakness with Gowerssign (i.e., with hip girdle weakness, the patient arises from a stooped or a squatting position by using[bmcresnotes.biomedcentral.com]

  • Congenital Muscular Dystrophy Type 1D

    Myotonia (prolonged muscle contraction) occurs spontaneously or is elicited by voluntary activity or by mild stimulation, such as tapping on a muscle (percussion myotonia)[neuropathology-web.org] […] of creatine phosphokinase (CK), myoglobinuria and occasional muscle cramps.[news-medical.net] On clinical examination, there was a myotonic handshake, myopathic facial expression, and a positive Gower’s sign (weakness of the proximal muscles).[jbsr.be]

  • X-Linked Scapuloperoneal Myopathy

    Myotonia (prolonged muscle contraction) occurs spontaneously or is elicited by voluntary activity or by mild stimulation, such as tapping on a muscle (percussion myotonia)[neuropathology-web.org] Increased CPK Increased creatine kinase Increased creatine phosphokinase Increased serum CK Increased serum creatine kinase Increased serum creatine phosphokinase Last updated[rarediseases.info.nih.gov] Jumping and running are almost impossible in most cases, and, in arising from the floor, affected boys use hand support to push themselves to an upright position (Gower sign[obgynkey.com]

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