Title: Clinical-Immunological Profile of Myasthenia Gravis-A Tertiary Care Centre Experience

Authors: Chithra P, Thomas Iype, Bhagya S, Geetha S.

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i4.65

Abstract

Introduction: Myasthenia gravis (MG) is the commonest acquired autoimmune disorder of neuromuscular junction. Acetylcholine receptor antibodies are associated with MG, particularly generalized MG. There is some suggestion that MG in the Asian population may be clinically different from that in Caucasians There is a paucity of data on the clinical-immunological profile of myasthenia in the Indian population.

Methods: During a period of one year(September 2007 to August 2008), 32 consecutive patients of with a diagnosis of MG, presenting to the Neuromuscular clinic, Department of Neurology, at tertiary care referral were recruited for the study. All patients were followed up regularly for a minimum period of 3 years.

Objectives: To correlate the AChR antibody status and titer with clinical features of MG

Conclusion: AChR antibody are seen in high titer in generalized myasthenia than ocular myasthenia. The presence of higher AchR antibody titersis significantly associated with the presence of thymoma.

Keywords: Myasthenia Gravis, Antibodies, diagnosis, Thymoma.

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Corresponding Author

Dr Thomas Iype

Professor and HOD, Dept of Neurology

Govt Medical College, Thiruvananthapuram, 695011

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