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Myasthenia gravis is an autoimmune disease that can lead to weakness and fatigue of skeletal muscles. Here we introduce a child presenting with bulbar symptoms only.A fifteen year-old boy presented to the hospital with difficulty swallowing and speaking, and fatigue especially at evenings for one month. He could only take liquids. His neurological examination was normal. The sequential nerve stimulation test results were decreased on electromyography examination. The acetylcholine receptor antibody level was high. We considered the diagnosis of bulbar Myasthenia Gravis, and treated the patient with intravenous immunoglobulin and plasmapheresis. He was discharged with oral steroids and prydostigmin. He had frequent attacks during the follow-up and azathiprine was added to his treatment. In conclusion, pediatric patients with myasthenia gravis can apply only with bulbar symptoms
Myasthenia gravis is an autoimmune disease that can lead to weakness and fatigue of the skeletal muscles. Here we introduce a child presenting with bulbar symptoms only.A fifteen-year-old boy presented to the hospital with difficulty swallowing and speaking, and fatigue especially at events for one month. He could only take liquids. His neurological examination was normal. The sequential nerve stimulation test results were decreased on electromyography examination. The acetylcholine receptor antibody level was high. We considered the diagnosis of bulbar Myasthenia Gravis, and treated the patient with intravenous immunoglobulin and plasmapheresis. He was discharged with oral steroids and prydostigmin. He had frequent attacks during the follow-up and Azathiprine was added to his treatment. In conclusion, pediatric patients with myasthenia gravis can apply only with bulbar symptoms
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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