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 |
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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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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.</description><identifier>ISSN: 1074-7931</identifier><identifier>EISSN: 2331-2637</identifier><identifier>DOI: 10.1097/NRL.0b013e3181945437</identifier><identifier>PMID: 19901721</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins, Inc</publisher><subject>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</subject><ispartof>The Neurologist (Baltimore, Md.), 2009-11, Vol.15 (6), p.361-363</ispartof><rights>2009 Lippincott Williams & Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3516-421c210b947c99548d929f115207d99737999925ff8204a26fdd14fbeafe5cfe3</citedby><cites>FETCH-LOGICAL-c3516-421c210b947c99548d929f115207d99737999925ff8204a26fdd14fbeafe5cfe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19901721$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Konno, Shingo</creatorcontrib><creatorcontrib>Ichijo, Takamasa</creatorcontrib><creatorcontrib>Murata, Mayumi</creatorcontrib><creatorcontrib>Toda, Takahiro</creatorcontrib><creatorcontrib>Nakazora, Hiroshi</creatorcontrib><creatorcontrib>Nomoto, Nobuatsu</creatorcontrib><creatorcontrib>Sugimoto, Hideki</creatorcontrib><creatorcontrib>Nemoto, Hiroshi</creatorcontrib><creatorcontrib>Kurihara, Teruyuki</creatorcontrib><creatorcontrib>Wakata, Nobuo</creatorcontrib><creatorcontrib>Fujioka, Toshiki</creatorcontrib><title>Autoimmune Polyglandular Syndrome Type 2 With Myasthenia Gravis Crisis</title><title>The Neurologist (Baltimore, Md.)</title><addtitle>Neurologist</addtitle><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.</description><subject>Aged</subject><subject>Female</subject><subject>Glucocorticoids - therapeutic use</subject><subject>Humans</subject><subject>Myasthenia Gravis - complications</subject><subject>Myasthenia Gravis - drug therapy</subject><subject>Myasthenia Gravis - surgery</subject><subject>Plasmapheresis - methods</subject><subject>Polyendocrinopathies, Autoimmune - complications</subject><subject>Polyendocrinopathies, Autoimmune - drug therapy</subject><subject>Polyendocrinopathies, Autoimmune - surgery</subject><subject>Prednisolone - therapeutic use</subject><subject>Thymectomy - methods</subject><issn>1074-7931</issn><issn>2331-2637</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE9r20AQxZfSkjhOvkEpuvWkZGZ3pdUcg6ndgJuE_CHHZS3N1moly92VGvTtqxKDIQPDXN578_gJ8RnhEoHM1e3D-hI2gIoVFkg608p8EDOpFKYyV-ajmCEYnRpSeCrOYvwFgJRLfSJOkQjQSJyJ5fXQd3XbDjtO7rtm_Nm4XTU0LiSP464KXcvJ07jnRCYvdb9Nfowu9lve1S5ZBfe3jski1LGO5-KTd03ki8Odi-flt6fF93R9t7pZXK_TUmWYp1piKRE2pE1JlOmiIkkeMZNgKiKjDE0jM-8LCdrJ3FcVar9h5zkrPau5-PqWuw_dn4Fjb9s6ltxMrbkbojVKo5Kaikmp35Rl6GIM7O0-1K0Lo0Ww_wHaCaB9D3CyfTk8GDYtV0fTgdgx97Vreg7xdzO8crBbdk2_tRNiaQpSqQQgRABIp8Vc_QP5U3r1</recordid><startdate>200911</startdate><enddate>200911</enddate><creator>Konno, Shingo</creator><creator>Ichijo, Takamasa</creator><creator>Murata, Mayumi</creator><creator>Toda, Takahiro</creator><creator>Nakazora, Hiroshi</creator><creator>Nomoto, Nobuatsu</creator><creator>Sugimoto, Hideki</creator><creator>Nemoto, Hiroshi</creator><creator>Kurihara, Teruyuki</creator><creator>Wakata, Nobuo</creator><creator>Fujioka, Toshiki</creator><general>Lippincott Williams & Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200911</creationdate><title>Autoimmune Polyglandular Syndrome Type 2 With Myasthenia Gravis Crisis</title><author>Konno, Shingo ; Ichijo, Takamasa ; Murata, Mayumi ; Toda, Takahiro ; Nakazora, Hiroshi ; Nomoto, Nobuatsu ; Sugimoto, Hideki ; Nemoto, Hiroshi ; Kurihara, Teruyuki ; Wakata, Nobuo ; Fujioka, Toshiki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3516-421c210b947c99548d929f115207d99737999925ff8204a26fdd14fbeafe5cfe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Female</topic><topic>Glucocorticoids - therapeutic use</topic><topic>Humans</topic><topic>Myasthenia Gravis - complications</topic><topic>Myasthenia Gravis - drug therapy</topic><topic>Myasthenia Gravis - surgery</topic><topic>Plasmapheresis - methods</topic><topic>Polyendocrinopathies, Autoimmune - complications</topic><topic>Polyendocrinopathies, Autoimmune - drug therapy</topic><topic>Polyendocrinopathies, Autoimmune - surgery</topic><topic>Prednisolone - therapeutic use</topic><topic>Thymectomy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Konno, Shingo</creatorcontrib><creatorcontrib>Ichijo, Takamasa</creatorcontrib><creatorcontrib>Murata, Mayumi</creatorcontrib><creatorcontrib>Toda, Takahiro</creatorcontrib><creatorcontrib>Nakazora, Hiroshi</creatorcontrib><creatorcontrib>Nomoto, Nobuatsu</creatorcontrib><creatorcontrib>Sugimoto, Hideki</creatorcontrib><creatorcontrib>Nemoto, Hiroshi</creatorcontrib><creatorcontrib>Kurihara, Teruyuki</creatorcontrib><creatorcontrib>Wakata, Nobuo</creatorcontrib><creatorcontrib>Fujioka, Toshiki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Neurologist (Baltimore, Md.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Konno, Shingo</au><au>Ichijo, Takamasa</au><au>Murata, Mayumi</au><au>Toda, Takahiro</au><au>Nakazora, Hiroshi</au><au>Nomoto, Nobuatsu</au><au>Sugimoto, Hideki</au><au>Nemoto, Hiroshi</au><au>Kurihara, Teruyuki</au><au>Wakata, Nobuo</au><au>Fujioka, Toshiki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Autoimmune Polyglandular Syndrome Type 2 With Myasthenia Gravis Crisis</atitle><jtitle>The Neurologist (Baltimore, Md.)</jtitle><addtitle>Neurologist</addtitle><date>2009-11</date><risdate>2009</risdate><volume>15</volume><issue>6</issue><spage>361</spage><epage>363</epage><pages>361-363</pages><issn>1074-7931</issn><eissn>2331-2637</eissn><abstract>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. 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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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