Save your Boat from Sinking Earlier: Don’t be Hurry for Direct Laryngoscopic Assessment in a Dysphagia Patient

Tareq Mohammad, Mohammed Benzamin, N. H. Chowdhury, A. Rahman, S. Khan, F. Milki, T. B. Mamoon, Md. Ashraful Islam
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Abstract

Myasthenia gravis (MG) is a relatively rare autoimmune disorder caused by an antibody-mediated blockade of neuromuscular transmission resulting in skeletal muscle weakness. The autoimmune attack occurs when autoantibodies form against the nicotinic acetylcholine postsynaptic receptors at the neuromuscular junction of skeletal muscles. Patients with myasthenia, usually presents with painless, specific muscle weakness. Typically it affects extra ocular, bulbar, or proximal limb muscles. Approximately 50% to 80% patients presents with ocular and 20% patient presents with bulbar symptoms. Though some specific clinical and serological tests are there to confirm the diagnosis, a high index of suspicion and detail clinical history brings the utmost importance. In this article we highlighted 02 cases of MG; a boy of 15 years and a male farmer 42 year presented with the presentation of MG
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避免你的船早沉:不要急于对吞咽困难患者进行直接喉镜检查
重症肌无力(MG)是一种相对罕见的自身免疫性疾病,由抗体介导的神经肌肉传递阻滞导致骨骼肌无力。当骨骼肌神经肌肉连接处形成针对烟碱乙酰胆碱突触后受体的自身抗体时,发生自身免疫攻击。重症肌无力患者通常表现为无痛性、特异性肌肉无力。通常影响眼外肌、球肌或近端肢体肌肉。大约50%至80%的患者表现为眼部症状,20%的患者表现为球部症状。虽然有一些特定的临床和血清学检查可以确认诊断,但高度怀疑和详细的临床病史至关重要。在本文中,我们重点介绍了02例MG;一名15岁的男孩和一名42岁的男性农民提出了MG的介绍
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