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Case Reports
. 2020 Jul;75(7-8):524-528.

[Juvenil autoimmune myasthenia]

[Article in French]
C Materne  1 , L Hudon  2 , A Daron  3 , M Demarche  2
Affiliations
  • PMID: 32779904
Free article
Case Reports

[Juvenil autoimmune myasthenia]

[Article in French]
C Materne et al. Rev Med Liege. 2020 Jul.
Free article

Abstract
in English, French

We report the story of an 11-year-old girl admitted to the emergency room for diplopia and divergent squint. Promptly apparead a fluctuating ptosis, a nasal voice and swallowing disorders, evoking the diagnosis of autoimmune myasthenia. The latter has been confirmed with electromyogram. Treatment with corticoids, plasmapheresis and pyridostigmine allowed symptoms control. Thymectomy by left thoracoscopy, non-robot assisted, was performed 6 months after the appearance of the first clinical signs for the purpose of remission.

Nous rapportons l’histoire d’une enfant de 11 ans admise aux urgences pour diplopie et strabisme divergent. Rapidement sont apparus un ptosis fluctuant, une voix nasonnée et ensuite des troubles de déglutition faisant évoquer un diagnostic de myasthénie auto-immune. Ce dernier a été confirmé à l’électromyogramme. Le traitement associant corticoïdes, plasmaphérèse et pyridostigmine a permis un contrôle des symptômes. Une thymectomie par thoracoscopie gauche non assistée par un robot a été réalisée 6 mois après l’apparition des premiers signes cliniques dans le but d’obtenir une rémission.

Keywords: Diagnosis; Thymectomy; Treatment; Juvenile myasthenia.

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