Table 1A.
Patient number | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
---|---|---|---|---|---|---|---|
Sex | Female | Female | Female | Male | Female | Female | Female |
Onset age (years) | 53 | 62 | 71 | 70 | 63 | 34 | 64 |
MuSK Ab titer (U/ml) | 4.45 | >12.00 | >12.00 | 3.63 | 5.48 | 5.47 | 1.01 |
Disease duration (months) | 17 | 74 | 4 | 96 | 78 | 25 | 38.5 |
Onset symptom | Ptosis, slurred speech | Dysphagia, slurred speech | Dyspnea | Slurred speech, dysphagia | Slurred speech | Diplopia | Limb weakness |
Tongue muscle atrophy | Yes | Yes | No | Yes | No | No | No |
Jolly test | Positive | Negative | Positive | Positive | Positive | Positive | Positive |
Time from onset to involvement of other muscle groups (months) | 10.5 | 71 | 2 | 90 | 60 | – | 12 |
Most severe Osserman classification | IIb | IIb | III | IIb | IV | I | IV |
Maximum QMG scores | 13 | 21 | 22 | 10 | 24 | 4 | 24 |
Time from onset to the peak (months) | 17 | 72 | 3.2 | 96 | 73.5 | 0.3 | 37.5 |
Number of myasthenic crisis | 0 | 0 | 1 | 0 | 1 | 0 | 2 |
Neostigmine trial | Positive | Negative | Negative | Positive | Positive | Positive | Negative |
Cholinergic side effect | Yes | Yes | Yes | No | Yes | No | Yes |
Decrement on RNS (3 Hz) | Yes | Yes | Yes | Not done | Not done | No | No |
Thymus CT scan/pathology | Normal | Normal | Normal | Normal | Normal | Normal | Normal |
TG/TPO Ab | Normal | Increased | Increased | Normal | Increased | Normal | Increased |
Other AD | Hyperthyroidism | No | Hashimoto thyroiditis | No | No | Behcet's disease | Hashimoto thyroiditis |
Intravenous immunoglobulin | Yes | No | No | No | Yes | No | Yes |
Glucocorticoid | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Tacrolimus | Yes | Yes | Yes | Yes | Yes | Yes | No |
Pyridostigmine bromide | 30 mg tid | No | No | 60 mg tid | No | 60 mg tid | No |
Follow-up time (months) | 12 | 12 | 21 | 3 | 1 | 42 | 0.25 |
QMG scores after treatment | 5 | 4 | 5 | 4 | 15 | 0 | – |
Prognosis | Markedly effective | Basically cured | Markedly effective | Markedly effective | Effective | Cured | Died |