1984
DOI: 10.1111/j.1365-2273.1984.tb01468.x
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Myasthenia gravis in otolaryngological practice

Abstract: A retrospective study of 48 unselected patients with myasthenia gravis was undertaken to evaluate the head and neck manifestations of this disease and to examine the role of the otolaryngologist in diagnosis and management. Oropharyngeal features were found in 56% of patients at presentation. In 20 the initial complaint was of one or more symptoms referable to the upper aerodigestive tract, whilst in 9 (18.8%) these were the only symptoms. The importance of maintaining a high index of clinical suspicion is emp… Show more

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Cited by 6 publications
(5 citation statements)
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“…Myasthenia gravis is important in otolaryngology because bulbar muscles are often involved early in the disease 3–7 . As in our patient, an otolaryngologist may be instrumental in the preliminary diagnosis 5 .…”
Section: Discussionmentioning
confidence: 71%
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“…Myasthenia gravis is important in otolaryngology because bulbar muscles are often involved early in the disease 3–7 . As in our patient, an otolaryngologist may be instrumental in the preliminary diagnosis 5 .…”
Section: Discussionmentioning
confidence: 71%
“…The incidence of the five main symptoms—ocular involvement, voice changes, facial weakness, and mastication and swallowing difficulties — are listed in Table 1 as primary and secondary symptoms. These three large studies identified ocular findings as the most common feature, occurring in as much as 65% of the patients in one study 3 . Voice and dysphagia difficulties were also a significant problem.…”
Section: Discussionmentioning
confidence: 96%
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“…Myasthenia gravis is important in otolaryngology because bulbar muscles are often involved early in the disease (Dhillon and Brookes, 1984). Laryngeal involvement of the recurrent laryngeal nerve causes dysphonia that is worse with prolonged speech.…”
Section: Discussionmentioning
confidence: 99%