title: D-penicillamine induced myasthenia gravis. Its relevance for the anaesthetist.
abstract: The case of a 57-year-old woman with rheumatoid arthritis is presented to illustrate the rare occurrence of a myasthenic syndrome induced by D-penicillamine, which led to prolonged (5.25-h) postoperative apnoea necessitating artificial ventilation.
mesh_terms: D001049:Apnea / Q000209:etiology; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000188:drug therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009157:Myasthenia Gravis / Q000139:chemically induced* / Q000150:complications; D010396:Penicillamine / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology
chemical_list: D010396:Penicillamine