KMID : 0359719920100040436
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Journal of the Korean Neurological Association 1992 Volume.10 No. 4 p.436 ~ p.442
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The Correlation between Anti-acetylcholine Receptor Antibody Titer and Clinical Grade in Myasthenia Gravis
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Abstract
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This study was performed to evaluate the titer of serum acetylcholine receptor antibody (AChR-Ab), the correlation between AChR-Ab titer and clinical state. Clinical response to thymectomy and histopathologic finding of thymus in myasthenia
gravis.
Twenty-seven patients with various clinical grades of myasthenia gravis and twenty-three normal controls were included in this study.
Mearl AChR-Ab titers were 4.21¡¾4.27nM in myasthenia gravis and 0.05¡¾0.06nM in control group (p<0.05). Mean AChR-Ab titers of each clinical grade were 0.80¡¾1.67nM in grade I, 5.05¡¾3.42nN in grade II a, 8.37¡¾4.50nM in grade II b, 6.67nM in
grade
III
and 10.89nM in grade ¥³. There were significant correlation between clinical grade and level of AChR-AB titer. There were no correlation between degree of clinical improvement and changes of serum AChR-Ab titer after thymectomy in myasthenia
gravis.
There were also no correlation between level of AChR-Ab titers and histopathologic findings of thymus.
It is suggested that the assay of serum AChr-Ab is a useful test I diagnosis of myasthenia gravis and the titer of serum AChR-Ab can be an index of disease severity in myasthenia gravis.
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