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The Need for Confirmatory Diagnostics Accurate prognosis depends on a diagnosis Identification of a specific therapy depends on a diagnosis Premature institution of corticosteroid therapy without an adequate diagnostic work-up may lead to delays in or failure to establish an accurate diagnosis Delay or failure to obtain an accurate diagnosis can result in irreversible damage to skeletal muscle in treatable disorders such as masticatory muscle myositis or polymyositis Delay or failure to obtain an accurate diagnosis can result in death in cases of myasthenia gravis due to aspiration pneumonia or respiratory failure An accurate diagnosis is critical to the development of DNA based testing for genetic diseases of purebred dogs Remember the Myopathic Effects of Corticosteroids