Autoimmune Polyglandular Syndrome Type 2 With Myasthenia Gravis Crisis

We describe a rare case of autoimmune polyglandular syndrome type 2 initially presenting as Addison disease and autoimmune thyroid disease, with subsequent development of autoimmune hepatitis and myasthenia gravis (MG) crisis in a Japanese woman. MG improved with oral prednisolone followed by plasma...

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Veröffentlicht in:The Neurologist (Baltimore, Md.) Md.), 2009-11, Vol.15 (6), p.361-363
Hauptverfasser: Konno, Shingo, Ichijo, Takamasa, Murata, Mayumi, Toda, Takahiro, Nakazora, Hiroshi, Nomoto, Nobuatsu, Sugimoto, Hideki, Nemoto, Hiroshi, Kurihara, Teruyuki, Wakata, Nobuo, Fujioka, Toshiki
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container_end_page 363
container_issue 6
container_start_page 361
container_title The Neurologist (Baltimore, Md.)
container_volume 15
creator Konno, Shingo
Ichijo, Takamasa
Murata, Mayumi
Toda, Takahiro
Nakazora, Hiroshi
Nomoto, Nobuatsu
Sugimoto, Hideki
Nemoto, Hiroshi
Kurihara, Teruyuki
Wakata, Nobuo
Fujioka, Toshiki
description We describe a rare case of autoimmune polyglandular syndrome type 2 initially presenting as Addison disease and autoimmune thyroid disease, with subsequent development of autoimmune hepatitis and myasthenia gravis (MG) crisis in a Japanese woman. MG improved with oral prednisolone followed by plasmapheresis for immunoadsorption; thymectomy was not performed. Conventional treatment for MG was effective and safe in this case, in which there was positivity for human leukocyte antigen A23, B52, B62, DR11, and DR15.
doi_str_mv 10.1097/NRL.0b013e3181945437
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subjects Aged
Female
Glucocorticoids - therapeutic use
Humans
Myasthenia Gravis - complications
Myasthenia Gravis - drug therapy
Myasthenia Gravis - surgery
Plasmapheresis - methods
Polyendocrinopathies, Autoimmune - complications
Polyendocrinopathies, Autoimmune - drug therapy
Polyendocrinopathies, Autoimmune - surgery
Prednisolone - therapeutic use
Thymectomy - methods
title Autoimmune Polyglandular Syndrome Type 2 With Myasthenia Gravis Crisis
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