What is in the Neuromuscular Junction Literature?

Tawfiq Al-Lahham, David Lacomis
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Abstract

Abstract: This update covers a number of treatment topics starting with Fc receptor inhibitors and the Federal Drug Administration approval of efgartigimod. Some uncertainties regarding the use of corticosteroids are addressed, namely the risk of exacerbation with initiation of treatment and how to taper. The presence and potential importance of antibody overshoot following plasmapheresis is noted and the evolving increase in usefulness of acetylcholine receptor antibodies in diagnosing ocular myasthenia. Several recent series and case reports regarding coronavirus 2019 and myasthenia gravis are reviewed. The topics of myasthenia gravis and pregnancy, and another look at thymectomy in MG are provided. Finally, a couple of case reports on Lambert-Eaton myasthenic syndrome concentrate on the ice pack test and an autoantibody association with paraneoplastic cerebellar degeneration and Lambert-Eaton myasthenic syndrome in the same patient.

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摘要:此更新涵盖了从Fc受体抑制剂开始的许多治疗主题和联邦药物管理局批准的efgartigimod。关于使用皮质类固醇的一些不确定因素,即开始治疗时病情恶化的风险以及如何逐渐减少。注意到血浆置换后抗体超调的存在和潜在重要性,以及乙酰胆碱受体抗体在诊断眼肌无力中的作用不断增加。本文回顾了最近几篇关于2019冠状病毒和重症肌无力的系列和病例报告。重症肌无力和妊娠的主题,以及另一个看胸腺切除术在MG提供。最后,几个关于兰伯特-伊顿肌无力综合征的病例报告集中在同一患者的冰袋试验和与副肿瘤小脑变性和兰伯特-伊顿肌无力综合征相关的自身抗体。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
64
期刊介绍: Journal of Clinical Neuromuscular Disease provides original articles of interest to physicians who treat patients with neuromuscular diseases, including disorders of the motor neuron, peripheral nerves, neuromuscular junction, muscle, and autonomic nervous system. Each issue highlights the most advanced and successful approaches to diagnosis, functional assessment, surgical intervention, pharmacologic treatment, rehabilitation, and more.
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