Myasthenia Gravis Presenting with Myasthenic Crisis Mimicking Status Asthmatics
A 23-year-old woman was transferred to our hospital due to exacerbating dyspnea with wheeze. After admission, we started mechanical ventilation immediately, and she was diagnosed with status asthmatics. On the following day, she was able to be weaned from the ventilator. However, she required re-intubation because of an unstable respiratory condition just after extubation. Detailed neurological investigations identified blepharoptosis and muscle weakness with easy fatigability. An edrophonium test was positive. Anti-acetylcholine receptor antibody was detected in her serum. She was finally diagnosed with myasthenia gravis and successfully treated with neostigmine and a low-dose corticosteroid.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:60 |
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| Enthalten in: |
Internal medicine (Tokyo, Japan) - 60(2021), 24 vom: 15. Dez., Seite 3953-3956 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kubo, Hitoshi [VerfasserIn] |
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| Links: |
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| Themen: |
Acute respiratory failure |
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| Anmerkungen: |
Date Completed 17.12.2021 Date Revised 05.11.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.2169/internalmedicine.7426-21 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM326688986 |
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| 520 | |a A 23-year-old woman was transferred to our hospital due to exacerbating dyspnea with wheeze. After admission, we started mechanical ventilation immediately, and she was diagnosed with status asthmatics. On the following day, she was able to be weaned from the ventilator. However, she required re-intubation because of an unstable respiratory condition just after extubation. Detailed neurological investigations identified blepharoptosis and muscle weakness with easy fatigability. An edrophonium test was positive. Anti-acetylcholine receptor antibody was detected in her serum. She was finally diagnosed with myasthenia gravis and successfully treated with neostigmine and a low-dose corticosteroid | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a acute respiratory failure | |
| 650 | 4 | |a myasthenia gravis | |
| 650 | 4 | |a status asthmatics | |
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| 650 | 7 | |a Autoantibodies |2 NLM | |
| 650 | 7 | |a Receptors, Cholinergic |2 NLM | |
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| 700 | 1 | |a Nakanishi, Norihiko |e verfasserin |4 aut | |
| 700 | 1 | |a Inoue, Koji |e verfasserin |4 aut | |
| 700 | 1 | |a Okamoto, Kensho |e verfasserin |4 aut | |
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