Statin-Induced Triad of Autoimmune Myocarditis, Myositis, and Transaminitis

Table 1

Laboratory findings.

Laboratory	Patient’s results	Normal value
White blood cells	7.3 K/mm^3	4-11 K/mm^3
Hemoglobin	10.7 g/dL	13.5-17 g/dL
Platelets	230 K/mm^3	130-450 K/mm^3
Sodium	141 mmol/L	134-147 mmol/L
Potassium	5.3 mmol/L	5.3 mmol/L
Chloride	110 mmol/L	95-108 mmol/L
Bicarbonate	17 mmol/L	>19 mmol/L
BUN	67 mg/dL	8-25 mg/dL
Creatinine	1.8 mg/dL	<1.5 mg/dL
Anion gap	14
AST	716 U/L	<50 U/L
ALT	907 U/L	<60 U/L
ALP	389 U/L	<140 U/L
hs-troponin		<11 ng/L
NT-pro BNP	2427 pg/mL	<124 pg/mL
CK	29,200 U/L	<355 U/L
CK-MB	525 ng/ml	<6.7 ng/mL
Serum aldolase	130 IU/L	<7.6 IU/L
ESR	85	<30
HMGCR-Ab	59	<20
ANA	Negative	Negative
ASMA	Negative	Negative
Anti-Jo1 antibodies	Negative	Negative

AST: aspartate aminotransferase; ALT: alanine transaminase; ALP: alkaline phosphatase; NT-pro BNP: N-terminal probrain natriuretic peptide; CK: total creatine kinase; CK-MB: creatine kinase-myocardial band; ESR: erythrocyte sedimentation rate; HMGCR-Ab: β-hydroxy β-methylglutaryl-CoA reductase antibody; ANA: antinuclear antibodies; ASMA: antismooth muscle antibodies.