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  • Title: Penicillamine-induced ocular myasthenia gravis in rheumatoid arthritis.
    Author: Liu GT, Bienfang DC.
    Journal: J Clin Neuroophthalmol; 1990 Sep; 10(3):201-5. PubMed ID: 2144538.
    Abstract:
    We report a case of a 47-year-old woman with rheumatoid arthritis who developed ocular myasthenia gravis during penicillamine treatment. Her serum contained elevated titers of acetylcholine receptor antibodies, and her symptoms resolved 8 weeks after discontinuation of penicillamine. We review the clinical and laboratory features of this syndrome of penicillamine-induced myasthenia gravis and discuss its pathophysiology and treatment.
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