Juvenile ocular myasthenia gravis: a report of two cases.

Q3 Medicine
Digital journal of ophthalmology : DJO Pub Date : 2024-02-02 eCollection Date: 2024-01-01 DOI:10.5693/djo.02.2023.09.002
Ryan Gabbard, Richard Yi, James Pratt, Kenneth Chang, Katie Keck
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引用次数: 0

Abstract

We report 2 cases of pediatric ocular myasthenia gravis. The first case was a 7-year-old girl who presented with bilateral ophthalmoplegia and ptosis that correlated with the onset of upper respiratory symptoms. Neuroimaging and acetylcholine receptor antibody testing were unremarkable. The ice pack test was positive. Symptoms greatly improved with pyridostigmine, with full resolution of ophthalmoplegia achieved by 8-month follow-up. The second case was a 4-year-old girl who presented emergently with ptosis and bilateral ophthalmoplegia. Acetylcholine receptor antibodies testing was positive. The patient was started on pyridostigmine and intravenous immunoglobulin and is scheduled to follow-up with pediatric ophthalmology in the outpatient setting.

青少年眼肌无力症:两例病例报告。
我们报告了两例小儿眼肌型重症肌无力症。第一个病例是一名 7 岁女孩,她出现双侧眼肌麻痹和上睑下垂,与上呼吸道症状的出现有关。神经影像学检查和乙酰胆碱受体抗体检测均无异常。冰袋试验呈阳性。使用吡啶斯的明后症状大为改善,随访8个月后眼球震颤完全消失。第二个病例是一名 4 岁女孩,因眼睑下垂和双侧眼肌麻痹急诊就诊。乙酰胆碱受体抗体检测呈阳性。患者开始使用吡啶斯的明和静脉注射免疫球蛋白,并计划在门诊接受小儿眼科随访。
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来源期刊
Digital journal of ophthalmology : DJO
Digital journal of ophthalmology : DJO Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
14
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