Document Detail


Misdiagnosis of Myasthenia Gravis and Subsequent Clinical Implication: A case report and review of literature.
MedLine Citation:
PMID:  22375266     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The autoimmune disease, myasthenia gravis (MG), can mimic a variety of neurological disorders leading to a delay in diagnosis and treatment. On occasions, misdiagnosis of MG could lead to unnecessary and potentially harmful therapeutic interventions. We report on a 12 year-old boy, in whom MG was mistaken for meningitic sequelae and subsequently for critical neuropathy/myopathy resulting in considerable morbidity for nearly a decade. Subsequent correct diagnosis and optimal management resulted in significant improvement in his functional status. We discuss the importance of considering MG as one of the potential differential diagnoses among cases of recurrent respiratory pump failure, or unexplained bulbar symptoms where documentary proof of the previous diagnoses including work-up for MG is lacking. We also review the literature on MG misdiagnosis and highlight the potential pitfalls in MG diagnosis.
Authors:
Abdullah Al-Asmi; Ramachandiran Nandhagopal; P C Jacob; Arunodaya Gujjar
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Publication Detail:
Type:  Journal Article     Date:  2012-02-07
Journal Detail:
Title:  Sultan Qaboos University medical journal     Volume:  12     ISSN:  2075-0528     ISO Abbreviation:  Sultan Qaboos Univ Med J     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-02-29     Completed Date:  2012-10-02     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101519915     Medline TA:  Sultan Qaboos Univ Med J     Country:  Oman    
Other Details:
Languages:  eng     Pagination:  103-8     Citation Subset:  -    
Affiliation:
Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman;
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