A case of Graves' disease associated with ocular myasthenia gravis / 대한내과학회지
Korean Journal of Medicine
; : 98-102, 2008.
Article
Dans Ko
| WPRIM
| ID: wpr-164619
Responsable en Bibliothèque :
WPRO
ABSTRACT
Myasthenia gravis and autoimmune thyroid disorders often overlap. It is known that hyperthyroidism occurs in 2~17.5% of patients with myasthenia gravis. Thyrotoxicosis may influence the clinical course of myasthenia gravis. Overlapping clinical features may cause diagnostic confusion when Graves' disease and myasthenia gravis co-exist. Thus, various tests may be needed to distinguish these two diseases. It is clinically important to screen patients with myasthenia gravis for the co-existence of autoimmune thyroid disorders and vice versa. We cared for a patient with Graves' disease associated with ocular myasthenia gravis who presented with fluctuating double vision and ptosis. Ocular myasthenia gravis was diagnosed by electrophysiologic study and presence of acetylcholine receptor antibody. The patient had a favorable clinical and laboratory response to treatment with an anticholinesterase (pyridostigmine) and an antithyroid drug (propylthiouracil), and he had minimal symptoms at the 9-month follow-up examination.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Glande thyroide
/
Thyréotoxicose
/
Acétylcholine
/
Maladie de Basedow
/
Études de suivi
/
Diplopie
/
Hyperthyroïdie
/
Myasthénie
Type d'étude:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
Korean Journal of Medicine
Année:
2008
Type:
Article