Dilated cardiomyopathy is a diagnosis that usually carries a grave prognosis. However among the numerous cases of dilated cardiomyopathy lurk a few that are acute, fulminant and potentially reversible. It is a challenge for a cardiologist to suspect this and successfully treat one .It is gratifying when the patient recovers and goes home. Similarly myopathies are chronic debilitating diseases that are associated with considerable morbidity .It has been observed that some myopathies are reversible. The hall mark of such a myopathy is it's acute fulminant onset. Researchers have recommended that whenever an acute onset myopathy is found a reversible cause should be looked for.