case_images: PMC9880591_01
case_images: Time in months versus creatinine kinase. This graph represents the patients
  CK level (muscle enzyme, correlated with severity of myopathy) over time in
  months. The graph plots the values of the CK while on atorvastatin,
  rosuvastatin, and while off all statins (green line) over time.
case_images: 10.1177_21501319221148635-fig1.jpg
case_images: PMC9880591_01_10.1177_21501319221148635-fig1.jpg
case_images: fig1-21501319221148635
case_images: Almost 6 months after the discontinuation of atorvastatin, he was placed on a trial of rosuvastatin but this also led to a gradual increase in his CK that peaked at a level of 3393 U/L (Figure 1).
case_images: Pathology results of the left anterior thigh muscle biopsy: (a) This is an
  H&E stain of a degenerating muscle fiber. The arrow points to
  degenerating myofiber. Stars indicate increased internal nuclei which is a
  nonspecific myopathic feature. There are also myofibers of various sizes and
  shapes; this is also a nonspecific myopathic feature, (b) CD68 showing it is
  degenerating by macrophages. CD3 stains there are minimal. T-lymphocytes and
  those present are associated with degenerating fibers or in endomysial
  space. There are no T-cells invading viable myofibers. Skeletal muscle with
  myopathic features including myofiber degeneration and regeneration. This
  skeletal muscle biopsy reveals myopathic features with evidence of scattered
  myofiber degeneration and regeneration and foci of endomysial macrophage
  infiltration associated with areas of myofiber necrosis.
case_images: 10.1177_21501319221148635-fig2.jpg
case_images: PMC9880591_01_10.1177_21501319221148635-fig2.jpg
case_images: fig2-21501319221148635