|
KMID : 1024720210110010042
|
|
Geriatric Rehabilitation
2021 Volume.11 No. 1 p.42 ~ p.47
|
|
|
Myasthenia Gravis Appearing after Thymectomy in an Elderly Patient with Aspiration Pneumonia: Case Report
|
|
Han Seung-Hee
Shim Ga-Yang
Choi Kyung-Yeul
Oh Ju-Sun
|
|
|
Abstract
|
|
|
|
Myasthenia gravis (MG) is an autoimmune disease characterized by the presence of acetylcholine receptor antibodies in the postsynaptic membrane. Thymectomy is generally used to treat MG but in rare occasions, it could cause MG. We present a case of a 71-year-old patient with aspiration pneumonia accompanied by isolated dysphagia related to MG after thymectomy. The diagnosis of MG was confirmed by electromyography with repetitive stimulation test and detection of acetylcholine receptor antibodies. The patient was prescribed pyridostigmine and oral high-dose steroid. Serial videofluoroscopic swallowing studies were performed on follow-ups, and the dysphagia improved with medical treatment and appropriate compensatory maneuvers.
|
|
|
KEYWORD
|
|
|
Aspiration pneumonia, Myasthenia gravis, Thymectomy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|