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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v5i2.2426</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v5i2.2426</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Frequency of Myopathy in Cases of Diabetes Mellitus Using Atorvastatin</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Qaisar</surname>
            <given-names>Wafa</given-names>
          </name>
          <email>wafa.qaisar04@gmail.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Khan</surname>
            <given-names>Imran</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Imran</surname>
            <given-names>Muhammad</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Khan</surname>
            <given-names>Fahad Aman</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Rauf</surname>
            <given-names>Hafiz Abdul</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Shafi</surname>
            <given-names>Nazish</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>Al Aleem Medical College, Gulab Devi Hospital Lahore</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Wafa Qaisar (wafa.qaisar04@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2024-06-07">
        <day>07</day>
        <month>06</month>
        <year>2024</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2024</year>
      </pub-date>
      <volume>5</volume>
      <issue>2</issue>
      <fpage>484</fpage>
      <lpage>487</lpage>
      <history>
        <date date-type="received" iso-8601-date="2024-02-07">
          <day>07</day>
          <month>02</month>
          <year>2024</year>
        </date>
        <date date-type="accepted" iso-8601-date="2024-04-13">
          <day>13</day>
          <month>04</month>
          <year>2024</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2024 The Author(s)</copyright-statement>
        <copyright-year>2024</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v5i2.2426" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v5i2.2426.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>The prime objective of this study was to determine the frequency of myopathy in diabetes mellitus patients</p>
          <p>using atorvastatin.</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>This cross-sectional study was conducted in the department of medicine at Gulab Devi Hospital, Lahore, after</p>
          <p>the approval of ethical committee and informed consent of the participants. Sample of 107 diabetic patients of both</p>
          <p>genders, aged between 20-70 years were included through non-probability consecutive sampling method.</p>
          <p>Electromyography was performed on selected participants and their serum creatinine kinase (CK) levels were assessed.</p>
          <p>Data analysis was done through SPSS version 16.</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>The mean age in this study was 51±10.8 years. Majority of the patients were male 59(55%) while female were</p>
          <p>48(44.9%). Mean duration elapsed from diagnosis of diabetes was 9.42±2.15 years. It was observed that patients were on</p>
          <p>statin therapy from last 6.26±1.46 months. Myopathy was present in the 66(61%) cases while 41(38.3%) did not have this</p>
          <p>condition.</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>The study concluded that symptoms of myopathy are highly prevalent in diabetic patients on statin therapy</p>
          <p>and the frequency of myopathy rises with the atorvastatin dosage. The study provides valuable insights into the potential</p>
          <p>musculoskeletal side effects of statin therapy in this specific patient population.</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Statin</kwd>
        <kwd>Diabetes Mellitus</kwd>
        <kwd>Myopathy</kwd>
        <kwd>Creatinine Kinase</kwd>
        <kwd>Electromyography</kwd>
      </kwd-group>
    </article-meta>
  </front>
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