TY - JOUR
T1 - Myasthenia gravis in children
T2 - Long‐term follow‐up
AU - Rodriguez, Moses
AU - Gomez, Manuel R.
AU - Howard, Frank M.
AU - Taylor, William F.
PY - 1983/5
Y1 - 1983/5
N2 - We report observations made on 149 patients with juvenile myasthenia gravis studied from onset of disease for as long as 40 years. Median follow‐up was 17 years; minimum was 4 years. Eight other patients with congenital myasthenia gravis were studied separately. Of the juvenile myasthenic patients, 85 (57%) underwent thymectomy because of disease severity. In juvenile myasthenia gravis, a spontaneous remission rate of 22.4 per 1,000 person‐year was observed, regardless of disease duration. A remission rate of 260 per 1,000 person‐years was seen during the first year after thymectomy, with a rate of 95 per 1,000 person‐years during the next 2 years. Early surgery, presence of bulbar symptoms, absence of ocular signs or generalized symptoms, onset of symptoms between ages 12 and 16, and presence of other immune disease were associated with increased postoperative remission rates. Epilepsy (4 patients) and neoplasia (7 patients) were the most frequent associated nonimmune disorders; rheumatoid arthritis (5 patients) and neoplasia diabetes mellitus (3 patients), asthma (3 patients), and thyroid disease (3 patients) were the most frequent associated immune diseases.
AB - We report observations made on 149 patients with juvenile myasthenia gravis studied from onset of disease for as long as 40 years. Median follow‐up was 17 years; minimum was 4 years. Eight other patients with congenital myasthenia gravis were studied separately. Of the juvenile myasthenic patients, 85 (57%) underwent thymectomy because of disease severity. In juvenile myasthenia gravis, a spontaneous remission rate of 22.4 per 1,000 person‐year was observed, regardless of disease duration. A remission rate of 260 per 1,000 person‐years was seen during the first year after thymectomy, with a rate of 95 per 1,000 person‐years during the next 2 years. Early surgery, presence of bulbar symptoms, absence of ocular signs or generalized symptoms, onset of symptoms between ages 12 and 16, and presence of other immune disease were associated with increased postoperative remission rates. Epilepsy (4 patients) and neoplasia (7 patients) were the most frequent associated nonimmune disorders; rheumatoid arthritis (5 patients) and neoplasia diabetes mellitus (3 patients), asthma (3 patients), and thyroid disease (3 patients) were the most frequent associated immune diseases.
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U2 - 10.1002/ana.410130506
DO - 10.1002/ana.410130506
M3 - Article
C2 - 6870202
AN - SCOPUS:0020558103
SN - 0364-5134
VL - 13
SP - 504
EP - 510
JO - Annals of neurology
JF - Annals of neurology
IS - 5
ER -