NEUROMUSCULAR DISEASE MIMICKING MYASTHENIA GRAVIS IN A NIGERIAN FEMALE ADOLESCENT: COULD THIS BE NEMALINE ROD DISEASE?
BACKGROUND
Nemaline rod disease is a congenital myopathy, presentation of which may mimic myasthenia gravis.


METHODS
We report a suspected case of nemaline rod disease in a female adolescent who presented with features similar to myasthenia gravis but failed to respond effectively to its conventional management. She had features of respiratory failure and cardiomyopathy.


RESULTS
Patient had a turbulent clinical course and finally succumbed to illness on the fifth day of admission.


CONCLUSIONS
This report is meant to sensitize child neurologists and general paediatricians on the need to have a broad spectrum of considerations in the management of suspected myasthenia gravis, especially when response to anticholinesterase is poor.
Department of Paediatrics, College of Medicine, University of Ibadan/University College Hospital, Ibadan.
O A
OA
Oyinlade
Department of Paediatrics, College of Medicine, University of Ibadan/University College Hospital, Ibadan.
I A
IA
Lagunju
Department of Paediatrics, College of Medicine, University of Ibadan/University College Hospital, Ibadan.
B E
BE
Adebayo
Anticholinesterase; Myasthenia gravis; Nemaline disease