Antibodies to skeletal muscle in myasthenia gravis: Part 2. Prevalence in non-thymoma patients

Anti-skeletal muscle antibodies (AMA) were measured in 340 non-thymoma patients with myasthenia gravis (MG) by both an ELISA with citric acid muscle extract and by immunofluorescence assay. Three a-AChR negative but AMA-positive patients were found. The occurrence of AMA was related to the age at on...

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Veröffentlicht in:Journal of the neurological sciences 1993-12, Vol.120 (1), p.78-81
Hauptverfasser: Kuks, J.B.M., Limburg, P.C., Horst, G., Oosterhuis, H.J.G.H.
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container_end_page 81
container_issue 1
container_start_page 78
container_title Journal of the neurological sciences
container_volume 120
creator Kuks, J.B.M.
Limburg, P.C.
Horst, G.
Oosterhuis, H.J.G.H.
description Anti-skeletal muscle antibodies (AMA) were measured in 340 non-thymoma patients with myasthenia gravis (MG) by both an ELISA with citric acid muscle extract and by immunofluorescence assay. Three a-AChR negative but AMA-positive patients were found. The occurrence of AMA was related to the age at onset in patients with an onset of MG beyond 40 years and with duration of disease in patients with an earlier onset of MG. This stresses the heterogeneity of late onset and early onset MG. Serial measurements in individual patients revealed no evidence for a thymic role in the generation of AMA. There was no difference in specificity of AMA in early and late onset patients. The presence of AMA in CT-negative patients is not necessarily suggestive of a radiological shortcoming in the detection of thymoma since in 16 AMA-positive patients from our series no thymoma was found at operation or obduction.
doi_str_mv 10.1016/0022-510X(93)90028-W
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adolescent
Adult
Age at onset
Age of Onset
Aged
Anti-muscle antibodies
Anti-receptor antibodies
Autoantibodies - blood
Child
Citric acid muscle extract
Enzyme-Linked Immunosorbent Assay
Female
Fluorescent Antibody Technique
Humans
Male
Middle Aged
Muscles - immunology
Myasthenia gravis
Myasthenia Gravis - blood
Myasthenia Gravis - immunology
Non-tumorous thymus
Thymoma
Thymus Neoplasms
title Antibodies to skeletal muscle in myasthenia gravis: Part 2. Prevalence in non-thymoma patients
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