[Atypical muscular syndrome with myolysis during long-term treatment with fibrates]

Acute inflammatory muscular syndromes secondary to clofibrate therapy are rare. They usually present with muscular pain in all four limbs with biochemical signs of rhabdomyolysis. The outcome is favourable as a rule with rapid regression of the clinical and biochemical changes after stopping the responsible drug. The authors report an atypical case of this syndrome with chest pains suggestive of angina.