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1: Folia Psychiatr Neurol Jpn. 1981;35(4):521-5.Links

A case report of myasthenia gravis associated with Hashimoto's thyroiditis.

Hashimoto A, Hanada M, Okada S, Aoki N.

An unusual case of myasthenia gravis is presented. The disease was clinically established in a 71-year-old Japanese woman by an electromyographic, pharmacologic test and anti-acetylcholine receptor (anti-AChR) antibodies demonstrated in the circulating blood. The coexistence of Hashimoto's thyroiditis was diagnosed by the presence of a diffuse thyroid enlargement, anti-thyroglobulin and anti-microsomal antibodies and a lowered thyroidal 131I uptake. A delusion of persecution developed during the treatment with pyridostigmine and ephedrine chloride, but the symptom disappeared after discontinuing the use of ephedrine chloride.

PMID: 6896316 [PubMed - indexed for MEDLINE]

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