GPT and muscular disease: Diagnosis of antisynthetase syndrome can be challenging due to its rarity and the multiple laboratory derangements observed, such as elevated creatine kinase (CK), the most sensitive indicator of inflammatory myopathy, and the elevation of both aspartate aminotransferase (AST) and alanine transaminase (ALT), which can be misinterpreted as underlying liver pathology instead of muscle disorder [4].