Myasthenia gravis and peripheral neuropathy in an Amazon indigenous female.
A 15 year-old female presented with anti-acetylcholine receptor antibody-positive myasthenia gravis and electrophysiological signs of sensory peripheral neuropathy. The repetitive stimulation test showed decremental response of 31% in the median nerve. The clinical picture improved with prostigmine, corticosteroids, plasmapheresis and thymectomy. This is the first case report of an Amazon indigenous patient with myasthenia gravis.
Dias-Tosta
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E
Unit of Neurology, Hospital de Base do Distrito Federal, Brasilia, DF, Brazil. edtosta@ambr.com.br
Kuckelhaus
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CS
Amaral
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D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001938:Brazil; D005260:Female; D006801:Humans; D007199:Indians, South American / Q000235:genetics*; D009157:Myasthenia Gravis / Q000503:physiopathology* / Q000628:therapy; D009388:Neostigmine / Q000627:therapeutic use; D010523:Peripheral Nervous System Diseases / Q000503:physiopathology* / Q000628:therapy; D010956:Plasmapheresis; D011241:Prednisone / Q000627:therapeutic use; D013934:Thymectomy
D000893:Anti-Inflammatory Agents; D009388:Neostigmine; D011241:Prednisone