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  • Title: Clinical spectrum of myasthenia gravis and problems of management.
    Author: Dhamija RM, Venkataraman S, Roy AK, Sanchetee PC, Bhargava AK.
    Journal: J Assoc Physicians India; 1991 Feb; 39(2):181. PubMed ID: 1885481.
    Abstract:
    Seventeen cases of myasthenia gravis, aged 20-79 years, including one case of ocular myasthenia gravis, seen over a 3 year period, were analysed. Dysphagia was the presenting symptom in two cases. One patient had ectopic thymus gland in relation to the cardiac border, which posed difficulty in diagnosis. A majority of the patients were on medical treatment, including neostigmine, prednisolone and azathioprim. Plasmapheresis was done in 4 cases during crisis, with significant benefit. One patient was put on intermittent ventilatory support for 14-16 hours a day for over 2 years; she died during a power failure. Seven patients were subjected to thymectomy.
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