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Scholars Journal of Medical Case Reports | Volume-11 | Issue-06
Myasthenia on a Case at Sikasso Hospital
Adama Dembélé, Moro Sidibe, Hachimi Amadou Poma, Sékou Malle, Moumine Traore, Abdoulaye Napo, Oumar Diallo, Daouda Goita, Djonny Jonas Dembele, Cheick Nomoko, Karim Diarra, Mamadou Adama Togo, Kadiato
Published: June 23, 2023 | 81 89
DOI: 10.36347/sjmcr.2023.v11i06.055
Pages: 1254-1258
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Abstract
Myasthenia gravis is aautoimmune disease which is due to a defect in the transmission of signals between the nerves and the muscles. Each year, there are 2 to 5 new cases per million people. We report the case of a young 35-year-old male patient seen in ophthalmology at the Sikasso hospital for ptosis and loss of visual acuity. The ptosis was improved after putting ice on the eyelids for 2 min (Ice cube test). The immunological assay for anti-MUSK (MUSK-Ab ELISA, IBL) and anti-RACH antibodies was performed. Chest CT did not detect thymus hyperplasia or thymoma, with no abnormalities of the pericardium and diaphragm. We observed an improvement in the signs after 6 months of treatment.