Myasthenia Gravis: A Systematic Review

被引:3
|
作者
Mishra, Aneesh K. [1 ]
Varma, Anuj [1 ]
机构
[1] Datta Meghe Inst Higher Educ & Res, Jawaharlal Nehru Med Coll, Med, Wardha, India
关键词
plasmapheresis; myasthenic crisis; thymectomy; neuromuscular junction; auto-antibody; MYCOPHENOLATE-MOFETIL; MANAGEMENT; DIAGNOSIS; CRISIS;
D O I
10.7759/cureus.50017
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Myasthenia gravis (MG), a rare disease, is the most common neuromuscular junction problem. It's the quintessential autoimmune disease with ocular, bulbar, respiratory, axial, and limb muscles exhibiting a typical fatigable weakening due to the development of antibodies against the acetylcholine receptor (AChR). Infections, stress, surgeries, thymus gland anomalies, and pharmaceutical side effects can also cause it. Ocular symptoms are initially experienced by most of the sufferers. The majority of the sufferers will go through at least one episode of symptom exacerbation during their illness. The immune system in MG interferes with nerve-muscle communication, causing muscles to become weak and tired quickly. The actual cause is not yet known, but a problem in the thymus gland may be the cause. In a person suffering from this disease, the size of the thymus becomes larger than normal, which is also called thymic hyperplasia. It is more common for women to have early-onset MG (EOMG) than for males to have late-onset MG (LOMG). Merely clinical evidence, encompassing the patients' medical history and physical indications of fluctuating muscle weakness in a specific region, is utilized to diagnose MG. Complementary diagnostic procedures and lab techniques aid in confirming the synaptic dysfunction and characterizing its kind and degree. Early diagnosis and the availability of effective treatments have reduced the burden of severe impairment and high mortality previously associated with MG. Current immunomodulation-based therapies come with side effects brought on by persistent immune suppression. Improved knowledge of this relatively uncommon but curable condition is required among primary carers. The objective of this review is to provide information about MG and to help people recognize its symptoms and start treatment without panic so that the progression of this disease can be stopped and complications can be avoided.
引用
收藏
页数:10
相关论文
共 50 条
  • [31] Choices and Challenges With Treatment of Myasthenia Gravis in Pregnancy: A Systematic Review
    Kumar, Lakshya
    Kachhadia, Meet Popatbhai
    Kaur, Jashanpreet
    Patel, Harshkumar
    Noor, Khutaija
    Gohel, Rushi G.
    Kaur, Paramjeet
    Raiyani, Siddharth
    Gohel, Vatsal A.
    Vasavada, Advait M.
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (07)
  • [32] A systematic review of population based epidemiological studies in Myasthenia Gravis
    Carr, Aisling S.
    Cardwell, Chris R.
    McCarron, Peter O.
    McConville, John
    BMC NEUROLOGY, 2010, 10
  • [33] The role of thymectomy in the treatment of juvenile myasthenia gravis: a systematic review
    Madenci, Arin L.
    Li, George Z.
    Weil, Brent R.
    Zurakowski, David
    Kang, Peter B.
    Weldon, Christopher B.
    PEDIATRIC SURGERY INTERNATIONAL, 2017, 33 (06) : 683 - 694
  • [34] Risk factors for postoperative myasthenia gravis in patients with thymoma without myasthenia gravis: A systematic review and meta-analysis
    Tang, Mingbo
    Shao, Yifeng
    Dong, Junxue
    Gao, Xinliang
    Wei, Shixiong
    Ma, Jianzun
    Hong, Yang
    Li, Zhiqin
    Bi, Taiyu
    Yin, Yipeng
    Zhang, Wenyu
    Liu, Wei
    FRONTIERS IN ONCOLOGY, 2023, 13
  • [35] MYASTHENIA-GRAVIS - A REVIEW
    ALKAWI, MZ
    ANNALS OF SAUDI MEDICINE, 1988, 8 (01) : 53 - 55
  • [36] Prevalence, Incidence, and Mortality of Myasthenia Gravis and Myasthenic Syndromes: A Systematic Review
    Sciancalepore, Francesco
    Lombardi, Niccolo
    Valdiserra, Giulia
    Bonaso, Marco
    Cappello, Emiliano
    Hyeraci, Giulia
    Crescioli, Giada
    Celani, Maria Grazia
    Cantisani, Teresa Anna
    Brunori, Paola
    Vecchi, Simona
    Bacigalupo, Ilaria
    Locuratolo, Nicoletta
    Lacorte, Eleonora
    Vanacore, Nicola
    Kirchmayer, Ursula
    NEUROEPIDEMIOLOGY, 2024,
  • [37] Employment in Myasthenia Gravis: A Systematic Literature Review and Meta-Analysis
    Guastafierro, Erika
    Tramacere, Irene
    Toppo, Claudia
    Leonardi, Matilde
    Mantegazza, Renato
    Bonanno, Silvia
    Frangiamore, Rita
    Raggi, Alberto
    NEUROEPIDEMIOLOGY, 2020, 54 (04) : 304 - 312
  • [38] The relationship between myasthenia gravis and COVID-19: a systematic review
    Tugasworo, Dodik
    Kurnianto, Aditya
    Retnaningsih
    Andhitara, Yovita
    Ardhini, Rahmi
    Budiman, Jethro
    EGYPTIAN JOURNAL OF NEUROLOGY PSYCHIATRY AND NEUROSURGERY, 2022, 58 (01):
  • [39] Thymectomy in nonthymomatous myasthenia gravis - systematic review and meta-analysis
    Cataneo, Antonio J. M.
    Felisberto, Gilmar, Jr.
    Cataneo, Daniele C.
    ORPHANET JOURNAL OF RARE DISEASES, 2018, 13
  • [40] Eculizumab in myasthenia gravis: A review
    Zhou, Avery
    Ho, Sabrina
    Vickers, Aroucha
    SAUDI JOURNAL OF OPHTHALMOLOGY, 2024, 38 (01) : 34 - 40