Figure 2.

Clinical Course of Case 1

Clinical course of Case 1. Revascularization of the right coronary artery failed to resolve elevation of the CK level, whereas steroid pulse therapy resulted in resolution of the elevated CK level and extraocular muscle paralysis. Although respiratory muscle failure worsened thereafter, the addition of TAC and IVIg eventually improved respiratory muscle failure. Cardiac function was also improved using immunosuppressive therapy. CK = creatinine kinase; CK-MB = MB isoenzyme of creatinine kinase; IVIg = intravenous immunoglobulin; mPSL = methylprednisolone; PCI = percutaneous coronary intervention; PSL = prednisolone; TAC = tacrolimus.