Source:http://linkedlifedata.com/resource/pubmed/id/10567090
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
1999-12-30
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pubmed:abstractText |
We report a patient initially diagnosed as having ocular myasthenia gravis who showed progressive ophthalmoparesis and pseudoblepharospasm together with positive acetylcholine receptor antibodies. Repeated evaluation with high-frequency repetitive stimulation revealed an incremental response and elevated titers of antibodies against presynaptic calcium channels, confirming Lambert-Eaton myasthenic syndrome. Systemic evaluation revealed no malignant neoplasm but revealed euthyroid Hashimoto's disease. Immunomodulative therapy including plasma exchange and administration of an immunosuppressent (azathioprine) combined with a potassium-channel blocker (3,4-diaminopyridine) reduced the ocular abnormalities. We conclude that the ocular manifestations in this patient were probably caused by Lambert-Eaton myasthenic syndrome.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0148-639X
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pubmed:author | |
pubmed:copyrightInfo |
Copyright 1999 John Wiley & Sons, Inc.
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pubmed:issnType |
Print
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1727-30
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:10567090-Autoantibodies,
pubmed-meshheading:10567090-Blepharospasm,
pubmed-meshheading:10567090-Diagnosis, Differential,
pubmed-meshheading:10567090-Electrodiagnosis,
pubmed-meshheading:10567090-Humans,
pubmed-meshheading:10567090-Lambert-Eaton Myasthenic Syndrome,
pubmed-meshheading:10567090-Male,
pubmed-meshheading:10567090-Middle Aged,
pubmed-meshheading:10567090-Muscle Weakness,
pubmed-meshheading:10567090-Myasthenia Gravis,
pubmed-meshheading:10567090-Ophthalmoplegia,
pubmed-meshheading:10567090-Plasma Exchange,
pubmed-meshheading:10567090-Receptors, Cholinergic,
pubmed-meshheading:10567090-Thyroiditis, Autoimmune,
pubmed-meshheading:10567090-Ulnar Nerve
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pubmed:year |
1999
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pubmed:articleTitle |
Lambert-Eaton myasthenic syndrome with ophthalmoparesis and pseudoblepharospasm.
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pubmed:affiliation |
Department of Neurology, National Okinawa Hospital, Ganeko 3-20-14, Ginowan-shi, Okinawa 901-2214, Japan.
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pubmed:publicationType |
Journal Article,
Case Reports
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