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Pan Afr Med J. 2019 Jan 21;32:38. doi: 10.11604/pamj.2019.32.38.17768. eCollection 2019.

Thymoma associated myasthenia gravis with atypical presentation of lipomatous tongue atrophy: a case report.

Author information

1
Qassim University, College of Dentistry, Department of Oral Surgery, Maxillofacial and Diagnostic Science, Kingdom of Saudi Arabia.
2
Qassim University, College of Dentistry, Periodontology and Oral Medicine, Kingdom of Saudi Arabia.
3
Saudi Board of Orthodontic, Kingdom of Saudi Arabia.

Abstract

A 28-year-old female patient came to the outpatient dental clinic for multiple teeth extractions and full mouth rehabilitation suffer from myasthenia gravis (MG) primary presentation as tongue atrophy and facial muscles weakness and the symptoms became worries, the patient unable to speak as well and change her voice and complaining of dysphagia and dysarthria. Oral symptoms, treatment schedule and protocol, the selection, prescription and impacts of medications, and prevention of myasthenic crisis are all important; aspects should be considered by dentists and oral health care providers. Weakness of facial and oropharyngeal muscle is considered very popular at disease onset and therefore oral health providers are often the first medical professionals to observe these patients. Myasthenic patients seek particular approach and consultation in order to ensure ideal and proper dental management.

KEYWORDS:

Thymoma; lipomatous tongue atrophy; myasthenia gravis

PMID:
31143343
PMCID:
PMC6522161
DOI:
10.11604/pamj.2019.32.38.17768
[Indexed for MEDLINE]
Free PMC Article

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