Myasthenia gravis in a geriatric patient

Česká verzia

Authors: Zvárová Eva; Kurašová Jitka
Authors place of work: II. interní klinika – gastroenterologická a geriatrická, Lékařská fakulta Univerzity Palackého a Fakultní nemocnice Olomouc
Published in the journal: Geriatrie a Gerontologie 2023, 12, č. 4: 193-196
Category:

Summary

In the case report, we describe the case of an 83-year-old polymorbid geriatric patient with newly diagnosed myasthenia gravis with predominant oculobulbar involvement. The patient presented with long-term mild dysphagia and dysarthria with an acute exacerbation after surgery. An episode of worsening dysphagia after the administration of antibiotics interfering with neuromuscular transmission represented an important moment leading to the correct diagnosis. The diagnostic process was complicated by a number of internal comorbidities which modified the entire clinical manifestation. The definitive diagnosis was established on the basis of positivity of anti-AChR autoantibodies.

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