PIERRE F. FAUBERT, M.D.; JEROME G. PORUSH, M.D.
To the editor: Taniyama and colleagues (1) reported elevated serum creatine kinase levels in nine patients with diabetes mellitus and the nephrotic syndrome, seven of whom had renal insufficiency. All patients were edematous when creatine kinase was elevated and after loss of edema creatine kinase returned to or toward normal. The authors implied that elevated creatine kinase was, in part, due to edema and that this association was specific for diabetics. It would be of interest to know if their patients were started on calcium and vitamin D concomitantly with the treatment of edema. In our experience, such patients have
FAUBERT PF, PORUSH JG. Elevated Serum Creatine Kinase Levels in Diabetic Patients with the Nephrotic Syndrome. Ann Intern Med. ;107:786. doi: 10.7326/0003-4819-107-5-786_1
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Published: Ann Intern Med. 1987;107(5):786.
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