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D. A. Fischman, MD; Herbert Y. Meltzer, MD; R. W. Poppei, MD

Arch Gen Psychiatry. 1970;23(6):503-515.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

PREVIOUS studies from this laboratory^1-3 have demonstrated that an elevation of serum creatine phosphokinase (CPK, EC 2.7.3.2), of the muscle isozymic type, is found in approximately 60% of acutely psychotic patients at the onset of the acute psychotic episode. Evidence obtained by histochemical techniques⁴ revealed an abnormality of skeletal muscle in 44 of 64 acutely psychotic subjects. The histochemical pattern in these abnormal rasults of muscle biopsies was suggestive of a myopathic disorder.⁴ In this report, light and electron microscopic evidence is presented to indicate that substantial disruptive changes of the myofibrils occur in almost 40% of these psychotic patients, and these focal myofibrillar changes are compatible with a degenerative alteration of the muscle cell.

Methods

Subjects.—

Skeletal muscle was obtained from a total of 83 human subjects. Ten of these subjects were normal controls; they had normal serum CPK activities, had no personal or family history . . . [Full Text PDF of this Article]

Author Affiliations
Chicago

From the departments of biology and anatomy (Dr. Fischman), and psychiatry (Dr. Meltzer, University of Chicago Pritzker School of Medicine, and the Illinois State Psychiatric Institute (Dr. Poppei), Chicago.

Footnotes
Accepted for publication Jan 20, 1970.

Reprint requests to Department of Psychiatry, University of Chicago, 950 E 59th St, Chicago 60637 (Dr. Meltzer).

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