Myasthenia gravis and LEMS
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- Question
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- [...] is an autoimmune disease most commonly caused by the destruction of nicotinic cholinergic receptors post-synaptically at the neuromuscular junction.
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- What is the major symptom of myasthenia gravis?
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- In 15% of cases of myasthenia gravis, symptoms are limited to which area of the body?
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- A [...] occurs when myasthenia gravis reaches the respiratory muscles.
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- What is the most common condition that electromyography is used to diagnose?
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- Which disease is associated with fatiguability following repetitive stimulation on single fibre EMG?
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- Which 3 groups of muscles are most commonly affect by myasthenia gravis?
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- Hyperplasia of the [...] is found in 70% of cases of myasthenia gravis.
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- Hyperplasia of the thymus is found in [...]% of cases of myasthenia gravis.
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- A thymoma is found in [...]% of cases of myasthenia gravis.
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- A [...] is found in 10% of cases of myasthenia gravis.
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- Myasthenic patients with thymomas sometimes have Ab against [...] or thyroid tissue.
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- What are the 2 groups of myasthenic patients by age/sex?
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- Acute, severely fluctuating, generalized myasthenia gravis more commonly affect [...] [...].
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- Oculobulbar myasthenia gravis more commonly affects [...] [...].
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- What is the presenting complaint in 50% of cases of myasthenia gravis?
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- [...] occurs when a myasthenic is asked to look down for a period, then up.
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- What are 2 clinical tests for myasthenia gravis?
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- Does myasthenia gravis present with muscle wasting?
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- Does myasthenia gravis present with sensory deficits?
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- Does myasthenia gravis present with abnormal reflexes?
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- What is the differential diagnosis for a young woman presenting with complex ophthalmoplegia (3)?
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- [...] is used to diagnose myasthenia gravis.
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- When a myasthenic is given Edrophonium, symptoms improve within [...] and for up to [...].
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- How is Edrophonium administered to diagnose myasthenia gravis?
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- Which drug is co-administered with Edrophonium to diagnose myasthenia gravis and why?
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- 85% of patients with generalized myasthenia gravis have the anti-[...] Ab.
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- [...]% of patients with generalized myasthenia gravis have the anti-AChR Ab.
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- [...]% of patients with ocular myasthenia gravis have the anti-AChR Ab.
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- 50% of patients with ocular myasthenia gravis have the anti-[...] Ab.
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- [...]% of myasthenic patients who are anti-AChR seronegative have the anti-MUSK Ab.
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- 50% of myasthenic patients who are anti-[...] seronegative have the anti-MUSK Ab.
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- 50% of myasthenic patients who are anti-AChR seronegative have the anti-[...] Ab.
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- What are the 2 auto-Ab which are diagnostic of myasthenia gravis?
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- Which imaging must be done in a patient with suspected myasthenia gravis?
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- Myasthenic patients with thymomas sometimes have Ab against striated muscle or [...].
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- What is the time of onset of Pyridostigmine?
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- What is the duration of action of Pyridostigmine?
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- What is the most common acetylcholinesterase inhibitor used to treat myasthenia gravis?
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- Which surgery should be considered for myasthenic patients?
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- Are acetylcholinesterase inhibitors disease-modifying drugs for myasthenia gravis?
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- Can immunosuppressants be used to treat myasthenia gravis?
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- How is myasthenia gravis treated (3)?
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- [...] is a rare condition associated with Ab against presynaptic voltage-gated Ca2+ channels at the NMJ.
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- Lambert-Eaton myasthenic syndrome is a rare condition associated with Ab against [...] at the NMJ.
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- What is the classical presentation of LEMS in terms of motor function?
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- LEMS is associated with [...].
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- Are the ocular muscles typically involved in LEMS?
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- Are the cranial muscles typically involved in LEMS?
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- How is LEMS different from myasthenia gravis in terms of fatigability?
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- Does LEMS present with abnormal reflexes?
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- Is there autonomic involvement in LEMS?
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- In which subtype of LEMS is autonomic involvement common?
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- [...] is an abnormal twitch of the eyelid.
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- Ingestion of [toxin...] can mimic myasthenia gravis.
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- Ingestion of botulinum from Clostridium botulinum can mimic [...].
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