最近审阅: 24 十月 2020
最近更新: 23 十月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 肌肉易疲劳
  • 睑下垂
  • 复视
  • 吞咽困难
  • 构音障碍
  • 面瘫
  • 四肢近端无力
  • 呼吸短促

危险因素

  • 自身免疫性疾病的家族史
  • 遗传标记
  • 癌症靶向治疗

诊断性检查

首要检查

  • 血清乙酰胆碱受体 (AChR) 抗体分析
  • 肌肉特异性受体酪氨酸激酶 (MuSK) 抗体
  • 系列肺功能试验
更多 首要检查

需考虑的检查

  • 横纹肌抗体
  • 重复神经刺激
  • 单纤维 EMG
  • 胸部 CT
更多 需考虑的检查

治疗流程

撰稿人

Parker Webber Chair in Neurology

Professor of Neurology

Professor of Immunology and Microbiology

Wayne State University School of Medicine

Detroit

MI

利益声明

RPL is an unpaid member of the Medical Advisory Committee and the Research Committee of the Myasthenia Gravis Foundation of America. He has consulted for Gerson Lehman Group, in the form of two 1-hour conversations with clients of GLG on the state of current treatments in MG.

Dr Robert Lisak would like to gratefully acknowledge Dr Andrea Corse and Dr Ami Mankodi, previous contributors to this monograph. AC and AM declare that they have no competing interests.

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Associate Professor of Medicine (Neurology)

Duke University

Durham

NC

利益声明

VCJ declares that he has no competing interests.

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