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BMJ Case Rep. 2009;2009. pii: bcr09.2008.0874. doi: 10.1136/bcr.09.2008.0874. Epub 2009 Aug 19.

Association between sarcoidosis and Behçet disease in a young woman with symptoms mimicking myasthaenia gravis.

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Taipei Veterans General Hospital, Division of Allergy, Immunology and Rheumatology, 201 Shih-Pai Road Section 2, Taipei, 112, Taiwan.


The present report concerns a young woman with long-standing Behçet disease (BD), who developed sarcoidosis and myasthaenia gravis (MG)-like syndrome. Although an itching sensation after intravenous methylprednisolone made treatment more difficult, low-dose oral methylprednisolone, thalidomide and ciclosporin A relieved the chronic granulomatous inflammation and pyridostigmine controlled the ptosis.

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