Myopathies of endocrine origin: A review for physicians

Dis Mon. 2024 Jan;70(1):101628. doi: 10.1016/j.disamonth.2023.101628. Epub 2023 Sep 16.

Abstract

Myopathies are a common manifestation of endocrine disorders. Endocrine myopathies are often overlooked while considering differential diagnoses in patients with musculoskeletal symptoms. The hindrance to mobility and the musculoskeletal discomfort owing to these myopathies are important causes of disability and depreciated quality of life in these patients. Endocrine myopathies occur due to the effects of endogenous or iatrogenic hormonal imbalance on skeletal muscle protein and glucose metabolism, disrupting the excitation-contraction coupling. Abnormalities of the pituitary, thyroid, parathyroid, adrenal, and gonadal hormones have all been associated with myopathies and musculoskeletal symptoms. Endocrine myopathies can either be the complication of a secondary endocrine disorder or a presenting symptom of a missed underlying disorder. Therefore, an underlying endocrine abnormality must always be excluded in all patients with musculoskeletal symptoms. This review presents a compilation of various endocrine myopathies, their etiopathogenesis, clinical presentation, diagnostic modalities, and treatment protocols.

Keywords: Creatine kinase; Endocrine; Hormones; Muscle dystrophy; Myopathy.

Publication types

  • Review

MeSH terms

  • Endocrine System Diseases* / complications
  • Endocrine System Diseases* / diagnosis
  • Endocrine System Diseases* / therapy
  • Humans
  • Muscle, Skeletal
  • Muscular Diseases* / diagnosis
  • Muscular Diseases* / etiology
  • Muscular Diseases* / therapy
  • Physicians*
  • Quality of Life