Myasthenia gravis

Myasthenia gravis (MG) is an acquired autoimmune disease that usually affects muscle strength. Patients have fluctuating symptoms and variable distribution of muscle weakness. All degrees of severity ranging from occasional mild ptosis to fulminant quadriplegia and respiratory arrest can occur. 15 (See Table 29.7 .)

Table 29.7 Clinical classification of acquired myasthenia gravis (MG)

Group

I

Ocular MG

Group

IIA

Mild generalised MG

Group

IIB

Moderate to severe MG

Group

III

Acute severe (fulminating)

Group

IV

Late (chronic) severe MG

MG withrespiratory muscle weakness

Dealing With Back Pain

Dealing With Back Pain

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