KMID : 0384320030240070653
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Korean Journal of Family Medicine 2003 Volume.24 No. 7 p.653 ~ p.657
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Myasthenia Gravis with Hyperthyroidism and Thymic Hyperplasia
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Seong Jeong-Won
Koh Seung-Beom Choi Youn-Seon Kim Min-Jeong Lee Ji-Hoon Ko Byeong-Jun Lee Seung-Hwan Kim Jung-Hyun
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Abstract
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This is the first case report of myasthenia gravis with cosxisting hyperthyroidism and thymic hyperplasia in Korea. Thirty two year-old man visited in the clinic with exthophalmos, ptosis, dysarthria and dysphagia. Serum anti-acetylcholine receptor and anti-microsomal antibodies was increased significantly. The chest CT showed a large soft tissue mass at the anterior mediastinum. The anti-thyroid drug, glucocorticoid, cholinesterase inhibitor and intravenous immunoglobulin was given as a treatment. After thyroid function is normalized, thymectomy will be done.
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KEYWORD
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myasthenia gravis, hyperthyroidism, thymic hyperplasia
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