title: [ORL manifestations of myasthenia gravis].
abstract: Myasthenia gravis is an illness of insidious onset whose first manifestation often is dysphagia. We report the case of a 25 year-old woman who consulted for nosebleed. On her first visit she referred progressive dysphagia, but the results of endoscopic digestive examination and indirect laryngoscopy were normal. The condition evolved until the appearance of weakness of the extremities suggested myasthenia. Myasthenia gravis was diagnosed by means of electromyography and determinations of antibodies against acetylcholine receptors. We reviewed the literature on the clinical manifestations, diagnostic procedures, and treatment of this condition. This case highlights the importance of suspecting myasthenia gravis in young women with dysphagia and a family or personal history of autoimmune disease in order to reach an early diagnosis and treatment.
authors.affiliation: Servicio de ORL, Ciudad Sanitaria y Universitaria de Bellvitge, Barcelona.
authors.forename: O
authors.initials: O
authors.lastname: Bravo Domínguez
authors.forename: M
authors.initials: M
authors.lastname: Foglia Fernández
authors.forename: X
authors.initials: X
authors.lastname: González Compte
authors.forename: R
authors.initials: R
authors.lastname: Jiménez Montoya
authors.forename: J
authors.initials: J
authors.lastname: Girons Bonells
authors.forename: M
authors.initials: M
authors.lastname: Dicenta Sousa
mesh_terms: D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology*; D004844:Epistaxis / Q000209:etiology; D005260:Female; D006801:Humans; D009157:Myasthenia Gravis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D009300:Nasal Septum; D014456:Ulcer / Q000209:etiology