Myasthenia gravis

Bourque and Breiner present five things to know about myasthenia gravis. Among other things, myasthenia gravis causes localized muscle fatigability and weakness. Although fatigue is a common medical complaint, fatigue related to myasthenia gravis has several key features: localized muscle weakness i...

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Bibliographic Details
Published inCanadian Medical Association journal (CMAJ) Vol. 190; no. 38; p. E1141
Main Authors Bourque, Pierre R., MD, Breiner, Ari, MD
Format Journal Article
LanguageEnglish
Published Canada Joule Inc 24.09.2018
CMA Impact, Inc
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Summary:Bourque and Breiner present five things to know about myasthenia gravis. Among other things, myasthenia gravis causes localized muscle fatigability and weakness. Although fatigue is a common medical complaint, fatigue related to myasthenia gravis has several key features: localized muscle weakness in a characteristic distribution, which is exacerbated by repeated activity and worsens late in the day. Asymmetric ptosis and variable diplopia are the presenting symptoms in 60% of patients, and, in most patients, it will spread to other muscles causing fluctuating dysarthria, dysphagia, difficulty chewing and dyspnea. Limb involvement is less common but typically results in proximal weakness.
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ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.180656