Mutations in the caveolin-3 (CAV3) gene are associated with autosomal domin
ant limb-girdle muscular dystrophy (LGMD1C). The authors report a novel spo
radic mutation in the CAV3 gene in two unrelated children with persistent e
levated levels of serum creatine kinase (hyperCKemia) without muscle weakne
ss. Immunohistochemistry and quantitative immunoblot analysis of caveolin-3
showed reduced expression of the protein in muscle fibers. Our data indica
te that a partial caveolin-3 deficiency should be considered in the differe
ntial diagnosis of idiopathic hyperCKemia.