Elevated serum CD40 as a potential biomarker for the differential diagnosis of acute thyrotoxic myopathy.

Acute thyrotoxic myopathy (ATM) is a rare yet severe complication of thyrotoxicosis that affects the central nervous system and is associated with a high mortality rate if not diagnosed and treated promptly. Currently, the diagnosis of ATM primarily relies on clinical manifestations, and there is a lack of specific serological markers to support the diagnostic process. This study aimed to investigate the differences in serum CD40 levels between patients with acute thyrotoxic myopathy (ATM), those with Graves' disease, and healthy controls, and to evaluate its potential as a diagnostic biomarker for differentiating ATM.

Compatibility of ticagrelor with pharmaceutical excipients studied with thermal and spectroscopic techniques.

The compatibility between ticagrelor and selected excipients (mannitol, calcium phosphate tribasic, sodium carboxymethyl starch, hydroxypropyl cellulose and magnesium stearate) was investigated by differential scanning calorimetry. The compatibility was further corroborated by Raman spectroscopy and isothermal stress testing experiments. These results revealed that ticagrelor has high compatibility with mannitol, calcium phosphate tribasic, sodium carboxymethyl starch, hydroxypropyl cellulose and magnesium stearate.