“…Necrotizing myopathies are generally associated with ≥ 1 clinical sign such as myalgia, fever, stilted gait, generalized weakness, decreased spinal reflexes, exercise intolerance, anorexia, lethargy, pigmenturia, or dysphagia and may be precipitated by factors such as drugs, toxins, snake bites, insect stings, ischemic myopathy, electrolyte disorders (e.g., hypokalemia), endocrinopathies, excessive exertion, hyperthermia, infectious diseases or are idiopathic ( 2 , 10 – 12 ). Hereditary muscular dystrophies could be associated with minimal clinical signs early in life but generally progress ( 13 , 14 ). Generalized and focal inflammatory myopathies are usually associated with moderate (i.e., 2,000–20,000 IU/L) and mild (i.e., 0–2,000 IU/L) increases in serum CK enzyme activity, respectively ( 2 , 8 ).…”