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Misdiagnosis of myasthenia gravis presenting with tongue and palatal weakness

We discuss the case of an elderly male who presented with a history of dysphagia, dysphonia, palatal weakness and a sensation of tongue swelling, each symptom of varying time duration. Myasthenia gravis may have a variety of presentations that include ocular fatigability, respiratory muscle weakness...

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Detalles Bibliográficos
Autores principales: Marshal, Megan, Mustafa, Moneeb, Crowley, Paul, McGovern, Rory, Ahern, Emer, Ragab, Inas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6101517/
https://www.ncbi.nlm.nih.gov/pubmed/30151219
http://dx.doi.org/10.1093/omcr/omy052
Descripción
Sumario:We discuss the case of an elderly male who presented with a history of dysphagia, dysphonia, palatal weakness and a sensation of tongue swelling, each symptom of varying time duration. Myasthenia gravis may have a variety of presentations that include ocular fatigability, respiratory muscle weakness and bulbar symptoms. The variety of these myasthenic syndromes can serve as a barrier to diagnosis and can often result in delayed or incorrect diagnosis. In this report, we present an atypical presentation of a relatively rare condition.