Difficulties in differential diagnosis of myasthenia gravis (clinical case)
https://doi.org/10.33667/2078-5631-2022-32-13-16
Abstract
Myasthenia gravis is a rare autoimmune disease, the clinical picture of myasthenia gravis is manifested by fluctuating weakness, pathological muscle fatigue and it is difficult for clinicians to diagnose it appropriately. The article presents a clinical case of misdiagnosis of late-onset myasthenia gravis, it provides a chronology of the development of symptoms of the disease and an analysis of the difficulties of differential diagnosis. Despite the typical manifestations of myasthenia gravis, the patient did not receive propriate pathogenetic therapy for a long time, while he was prescribed drugs that block neuromuscular conduction and worsen the course of the disease.
About the Authors
S. V. Lobzin
North-Western State Medical University n. a. I. I. Mechnikov
Russian Federation
Russian Federation
Lobzin Sergei V., DM Sci (habil.), professor, head of Dept of Neurology n. a. academician S. N. Davidenkov. eLibrary SPIN: 7274–6327
St. Peterburg
A. R. Alibekov
North-Western State Medical University n. a. I. I. Mechnikov; Vsevolozhsk Clinical Interdistrict Hospital
Russian Federation
Russian Federation
Alibekov Ailer R., postgraduate student of Dept of Neurology n. a. academician S. N. Davidenkov, neurologist. eLibrary SPIN: 1112–9540
St. Peterburg
Vsevolozhsk
E. G. Klocheva
North-Western State Medical University n. a. I. I. Mechnikov
Russian Federation
Russian Federation
Klocheva Elena G., DM Sci (habil.), professor at Dept of Neurology n. a. academician S. N. Davidenkov. eLibrary SPIN: 6220–5349
St. Peterburg
A. L. Sharapova
Novgorod Regional Clinical Hospital
Russian Federation
Russian Federation
Sharapova Anna L., neurologist at Dept of Neurology
Velikiy Novgorod
V. V. Goldobin
North-Western State Medical University n. a. I. I. Mechnikov
Russian Federation
Russian Federation
Goldobin Vitaliy V., DM Sci (habil.), professor, head of Dept of Neurology n. a. academician S. N. Davidenkov. eLibrary SPIN: 4344–5782
St. Peterburg
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Review
For citations:
Lobzin S.V., Alibekov A.R., Klocheva E.G., Sharapova A.L., Goldobin V.V. Difficulties in differential diagnosis of myasthenia gravis (clinical case). Medical alphabet. 2022;1(32):13-16. (In Russ.) https://doi.org/10.33667/2078-5631-2022-32-13-16
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