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Rheumatology • Myositis
Do you give IV fluids to avoid renal compromise in patients with inflammatory myositis with a CK over a certain threshold?
In the absence of rhabdomyolysis is there still a need to protect the kidneys when patients with inflammatory myositis have CK over 5000 or 10000?
Answer from: at Academic Institution
No, because myositis is a chronic disease, CK rises slowly and typically doesn't affect kidneys (unlike rhabdomyolysis, which leads to an acute rise in CK to very high levels). However, when CK is too high like > 20,000 to 30,000 rarely in cases of necrotizing myopathy or cases of metabolic myopa...
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