GPT and hyperkeratosis lenticularis perstans: A 67-year-old female with HTN, T2DM, and HLP presented with chest heaviness, cough, worsening dyspnea, fatigue, chills, and fever. The patient was on statin with positive past myotoxic DH. Lab results revealed a peak CK of 15,085, AST/ALT of 749/337, and creatinine of 10.95 with positive blood test in U/A. The patient survived.