title: Juvenile myasthenia gravis: treatment with immune globulin and thymectomy.
abstract: Juvenile myasthenia gravis is rare, representing just 10% of all myasthenia gravis. Treatment of the juvenile form is similar to the adult form, although concerns of long-term side effects limit use of immunomodulators and thymectomy in children, especially the very young. We review the clinical course of three children with juvenile myasthenia gravis, as well as the current status of intravenous immunoglobulin and thymectomy as treatments for juvenile myasthenia gravis.
authors.affiliation: Department of Neurology, The University of Michigan, Ann Arbor 48109-0316, USA.
authors.forename: D N
authors.initials: DN
authors.lastname: Herrmann
authors.forename: P R
authors.initials: PR
authors.lastname: Carney
authors.forename: J J
authors.initials: JJ
authors.lastname: Wald
mesh_terms: D000293:Adolescent; D017668:Age of Onset; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000009:adverse effects / Q000627:therapeutic use*; D008297:Male; D009157:Myasthenia Gravis / Q000601:surgery / Q000628:therapy*; D013934:Thymectomy / Q000009:adverse effects
chemical_list: D016756:Immunoglobulins, Intravenous