Juvenile Myasthenia Gravis: A Case Report and Review
Carolyn Robinson, Marisa Couluris, Bruce M Schnapf
University of South Florida, Tampa, Florida, USA
Abstract

Juvenile myasthenia gravis is an autoimmune neuromuscular disorder associated with muscle weakness. It is the most common variant of pediatric myasthenia gravis and accounts for at least 10% of all myasthenia gravis cases. Juvenile myasthenia gravis poses as a diagnostic challenge for the medical community due to its many clinical presentations. We report the case of an 11 years who presented with wheezing and dysphagia presumptively treated for asthma and anaphylaxis. Only after she developed a myasthenic crisis with progressive muscle weakness with respiratory failure that improved after a tensilon test, was the diagnosis of myasthenia gravis considered. The clinical presentation of juvenile myasthenia gravis and the diagnostic tests and treatments are reviewed.
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