Annals of Ibadan postgraduate medicine · 2016
NEUROMUSCULAR DISEASE MIMICKING MYASTHENIA GRAVIS IN A NIGERIAN FEMALE ADOLESCENT: COULD THIS BE NEMALINE ROD DISEASE?
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Oyinlade O A, Lagunju I A, Adebayo B E
Аннотация
BACKGROUND: Nemaline rod disease is a congenital myopathy, presentation of which may mimic myasthenia gravis.
METHOD: We report a suspected case of nemaline rod disease in a female adolescent who presented with features similar to myasthenia gravis but failed to respond effectively to its conventional management. She had features of respiratory failure and cardiomyopathy.
RESULTS: Patient had a turbulent clinical course and finally succumbed to illness on the fifth day of admission.
CONCLUSION: This report is meant to sensitize child neurologists and general paediatricians on the need to have a broad spectrum of considerations in the management of suspected myasthenia gravis, especially when response to anticholinesterase is poor.
METHOD: We report a suspected case of nemaline rod disease in a female adolescent who presented with features similar to myasthenia gravis but failed to respond effectively to its conventional management. She had features of respiratory failure and cardiomyopathy.
RESULTS: Patient had a turbulent clinical course and finally succumbed to illness on the fifth day of admission.
CONCLUSION: This report is meant to sensitize child neurologists and general paediatricians on the need to have a broad spectrum of considerations in the management of suspected myasthenia gravis, especially when response to anticholinesterase is poor.