title: Myasthenia gravis--a rare presentation with tongue atrophy and fasciculation.
abstract: We report the case of an unusual presentation of myasthenia gravis with tongue atrophy and fasciculation. Myasthenia gravis is an autoimmune condition associated with weakness and fatigability of voluntary muscles. In >50%, the initial symptoms and signs are related to extraocular muscle weakness, such as diplopia or ptosis [Tsung K, Seggev JS. An unusual cause of dysphagia. West J Med 1995; 163: 159-60]. Rarely, it is known to affect bulbar muscles and can lead to dysphagia and respiratory compromise.
authors.affiliation: Elderly Medicine Directorate, University Hospital Lewisham, London, UK. jessiburch@doctors.org.uk
authors.forename: J
authors.initials: J
authors.lastname: Burch
authors.forename: C
authors.initials: C
authors.lastname: Warren-Gash
authors.forename: V
authors.initials: V
authors.lastname: Ingham
authors.forename: M
authors.initials: M
authors.lastname: Patel
authors.forename: D
authors.initials: D
authors.lastname: Bennett
authors.forename: K R
authors.initials: KR
authors.lastname: Chaudhuri
mesh_terms: D000368:Aged; D001284:Atrophy; D018450:Disease Progression; D005207:Fasciculation / Q000209:etiology*; D006801:Humans; D008297:Male; D009157:Myasthenia Gravis / Q000150:complications*; D014059:Tongue / Q000473:pathology*; D014060:Tongue Diseases / Q000209:etiology* / Q000473:pathology