“…J., 1967, 2, 679-681 Nastuk et al (1960) and Simpson (1960) first suggested an autoimmune basis for myasthenia gravis. It is now well established that about one-third of myasthenics have circulating antibodies which cross-react with skeletal muscle and thymus Strauss et al, 1965), and that there is a high incidence of antinuclear factor (White and Marshall, 1962 ;Sturgill et al, 1964) and of antibodies directed against tissues other than skeletal muscle and thymus (Adner et al, 1964 ;Downes et al, 1966). The reported depression of serum complement level during clinical exacerbations (Nastuk et al, 1960) suggests that an antigen-antibody reaction is taking place, but so far there is no evidence that the circulating antibodies to skeletal muscle and thymus play any pathogenic part.…”