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

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