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Volume 8 Issue 6 (June, 2020)

Case Reports

Oncological Disorder Masquerading as an Atypical NMJ Disorder
Dinesh Kumar, Rajeev Gupta, Shveta Mahajan, Jaskiran Kaur, Nishleen Kaur, Rahul Vinay Chandra Tiwari

Myasthenic crisis (MC) can affect any age, ethnicity, or sex and can be precipitated with any stressor, infection being the most common. MC is a clinical diagnosis defined by respiratory failure caused by exacerbation of Myasthenia Gravis. Muscle weakness can involve any voluntary muscle. MC can be differentiated from other neuromuscular junction diseases by the presence of normal reflexes, normal sensation, lack of autonomic symptoms, lack of fasciculations, and worsening weakness with repetitive motion. Treatment should target the inciting event and airway support. Establishing timely consequent immunosuppression and treatment of myasthenic patients in specialized outpatient centres help to avoid repetitive exacerbations and crises. Keywords Myasthenic crisis, Neuromuscular junction disorders, Ptosis, Myasthenia Gravis

 
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