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Muscle pain happens to most people. After a rigorous workout, muscles can be sore for days. That’s normal muscle pain. Abnormal muscle pain is a persistent pain that does not go away with rest. The pain is deep and often unbearable. Further investigation is needed for abnormal muscle pain.
The first investigation step is laboratory tests. Pain does not accompany all muscle diseases, but an elevated creatine phosphokinase (CPK) usually does. The CPK enzyme is found in the skeletal muscles as well as the heart and brain. Non-painful causes of an elevated CPK include muscular dystrophy, dementia and motor neuron diseases. Painful conditions associated with an elevated CPK include sickle cell disease and polymyositis . Besides pain, other symptoms might provide diagnostic clues like muscle weakness which typical in polymyositis. If anemia is present, then sickle cell disease is more likely. Both polymyositis and sickle cell disease can lead to the most severe form of muscle di...
Alternative Names Serum angiotensin-converting enzyme; SACE Normal Values Normal values vary based on your age and the test method used. Typically, adults have ACE levels less than 40 micrograms/L. Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results. What abnormal results mean Increased ACE levels may be a sign of sarcoidosis. However, increased ACE levels may also be seen in several other disorders, including: Active histoplasmosis Amyloidosis Asbestosis Berylliosis Diabetes Emphysema Gaucher's disease Hepatitis Hodgkin's disease Hyperthyroidism Idiopathic pulmonary fibrosis Leprosy Lung cancer Nephrotic syndrome Primary biliary cirrhosis Pulmonary embolism Scleroderma Silicosis Tuberculosis A decrease in ACE levels may indicate: Steroid therapy (usually prednisone) Therapy for sarcoidosis
Alternative Names Triacylglycerol test Normal Values Normal : Less than 150 mg/dL Borderline High : 150 - 199 mg/dL High : 200 - 499 mg/dL Very High : 500 mg/dL or above What abnormal results mean High triglyceride levels may be due to: Cirrhosis Diet low in protein and high in carbohydrates Familial hyperlipoproteinemia (rare) Hypothyroidism Nephrotic syndrome Pancreatitis Poorly controlled diabetes Low triglyceride levels may be due to: Low fat diet Hyperthyroidism Malabsorption syndrome Malnutrition Additional conditions under which the test may be performed: Chylomicronemia syndrome Hyperlipidemia; acquired Familial combined hyperlipidemia Familial dysbetalipoproteinemia Familial hypertriglyceridemia Familial lipoprotein lipase deficiency Noninsulin-dependent diabetes (NIDD) Stroke secondary to atherosclerosis
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