... electromyography; abnormal results on muscular biopsy; elevated serum levels of muscle enzyme (creatine kinase), lactate dehydrogenase, aspartate transaminase and alanine transaminase; and typical skin ... 20 Hashimoto Y, Nawata Y, Kurasawa K, Takabayashi K, Oda K, Mikata A, Iwamoto I: Investigation of EB virus and cytomegalovirus in rapidly progressive interstitial pneumonitis in polymyositis /dermatomyositis ... patients A thorough physical examination including palpation of thyroid glands, breast and lymph nodes will assist in the early detection of occult cancers Mammography, breast ultrasonography and...