Case Report
NXP-2 Positive Dermatomyositis: A Unique Clinical Presentation
Table 1
A summary of the significant lab results, immunologic test results, and results from the detailed motor strength test.
| | Lab results |
| | AST | 75 U/L (0–35 U/L) | | CK | 1017 IU/L (30–170 U/L) | | Myoglobin, serum | 233 ng/mL (0–85 ng/mL) | | LDH | 386 U/L (60–100 U/L) | | Ferritin | 3151 ng/mL (15–200 ng/mL) | | ESR | 33 mm/hr (0–15 mm/hr) | | Uric acid | 6.8 mg/dL (3.7–8.0 mg/dL) | | HIV | −ve |
| | Immunologic tests |
| | ANA | −ve | | Anti-Jo | −ve | | Anti-Ro | −ve | | Anti-LA | −ve | | Anti-RNP | −ve | | Anti-Smith | −ve | | Anti-histone | −ve | | CMV/EBV | −ve |
| | Motor strength |
| | Neck flexion | 2/5 | | Deltoids | 3/5 bilaterally | | Biceps | 4/5 bilaterally | | Triceps | 4+/5 bilaterally | | Wrist flexion | 4+/5 on L, 4/5 on R | | Wrist extension | 4+/5 on L, 4/5 on R | | Hand grip | 4+/5 bilaterally | | Hip extension and flexion | 4/5 bilaterally | | Knee extension and flexion | 4+/5 bilaterally | | Ankle flexion and dorsiflexion | 5/5 bilaterally |
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