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. 1990 May;45(5):422–423. doi: 10.1136/thx.45.5.422

Unsuspected myasthenia gravis presenting as respiratory failure.

A Mier 1, C Laroche 1, M Green 1
PMCID: PMC462503  PMID: 2382251

Abstract

A patient developed respiratory failure after surgical removal of a recurrent thymoma, which necessitated removal of part of the diaphragm. The respiratory failure was due to previously undiagnosed myasthenia gravis, which had selectively affected the respiratory muscles.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allen S. M., Hunt B., Green M. Fall in vital capacity with posture. Br J Dis Chest. 1985 Jul;79(3):267–271. [PubMed] [Google Scholar]
  2. Davis J., Goldman M., Loh L., Casson M. Diaphragm function and alveolar hypoventilation. Q J Med. 1976 Jan;45(177):87–100. [PubMed] [Google Scholar]
  3. De Troyer A., Estenne M. Limitations of measurement of transdiaphragmatic pressure in detecting diaphragmatic weakness. Thorax. 1981 Mar;36(3):169–174. doi: 10.1136/thx.36.3.169. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Lindstrom J. M., Seybold M. E., Lennon V. A., Whittingham S., Duane D. D. Antibody to acetylcholine receptor in myasthenia gravis. Prevalence, clinical correlates, and diagnostic value. Neurology. 1976 Nov;26(11):1054–1059. doi: 10.1212/wnl.26.11.1054. [DOI] [PubMed] [Google Scholar]
  5. Mier-Jedrzejowicz A., Brophy C., Moxham J., Green M. Assessment of diaphragm weakness. Am Rev Respir Dis. 1988 Apr;137(4):877–883. doi: 10.1164/ajrccm/137.4.877. [DOI] [PubMed] [Google Scholar]
  6. Mier A. K., Havard C. W. Diaphragmatic myasthenia in mother and child. Postgrad Med J. 1985 Aug;61(718):725–727. doi: 10.1136/pgmj.61.718.725. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Mier A., Brophy C., Wass J. A., Besser G. M., Green M. Reversible respiratory muscle weakness in hyperthyroidism. Am Rev Respir Dis. 1989 Feb;139(2):529–533. doi: 10.1164/ajrccm/139.2.529. [DOI] [PubMed] [Google Scholar]
  8. Ozdemir C., Young R. R. The results to be expected from electrical testing in the diagnosis of myasthenia gravis. Ann N Y Acad Sci. 1976;274:203–222. doi: 10.1111/j.1749-6632.1976.tb47686.x. [DOI] [PubMed] [Google Scholar]
  9. Ringqvist I., Ringqvist T. Changes in respiratory mechanics in myasthenia gravis with therapy. Counteracting effects of anticholinesterase. Acta Med Scand. 1971 Dec;190(6):509–518. doi: 10.1111/j.0954-6820.1971.tb07467.x. [DOI] [PubMed] [Google Scholar]
  10. Ringqvist I., Ringqvist T. Respiratory mechanics in untreated myasthenia gravis with special reference to the respiratory forces. Acta Med Scand. 1971 Dec;190(6):499–508. doi: 10.1111/j.0954-6820.1971.tb07466.x. [DOI] [PubMed] [Google Scholar]
  11. Wilson S. H., Cooke N. T., Edwards R. H., Spiro S. G. Predicted normal values for maximal respiratory pressures in caucasian adults and children. Thorax. 1984 Jul;39(7):535–538. doi: 10.1136/thx.39.7.535. [DOI] [PMC free article] [PubMed] [Google Scholar]

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