Case of severe refractory myasthenia gravis in HUKM.
Med J Malaysia
; 61(5): 633-5, 2006 Dec.
Article
en En
| MEDLINE
| ID: mdl-17623968
A 20-year-old girl first notice bilateral ocular muscle weakness in 2001. Two months later, she developed acute muscle paralysis and respiratory failure which required ventilation. Serum anti-acetylcholine receptor antibodies and repetitive nerve stimulation test was positive and consistent with myasthenia gravis (MG). CT scan thorax revealed thymic enlargement and she underwent a video assisted thymectomy (VATS). However, over the next three years, despite maximal doses of various immunosuppressive agents with plasmapheresis and intravenous immunoglobulin, she was admitted with recurrent myasthenic crisis without any obvious precipitant. She was then commenced on mycophenolate mofetil and together with regular plasmapheresis, cyclosporine and prednisolone, her symptoms have finally improved and brought under control.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Timectomía
/
Inmunoglobulinas
/
Inmunosupresores
/
Miastenia Gravis
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Med J Malaysia
Año:
2006
Tipo del documento:
Article
Pais de publicación:
Malasia