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.
Unit of Neurology, Hospital de Base do Distrito Federal, Brasilia, DF, Brazil. edtosta@ambr.com.br
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Dias-Tosta
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Kuckelhaus
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Amaral
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