Myasthenia Gravis

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Written by Zhang Hui
Neurology
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Myasthenia gravis often co-occurs with which diseases?

Myasthenia gravis is a type of autoimmune disease of the nervous system, mainly caused by the production of abnormal antibodies in the body. These antibodies affect the acetylcholine receptors in the postsynaptic membrane, thereby impacting the transmission of nerve impulses at the neuromuscular junction. Being an autoimmune disease, myasthenia gravis usually coincides with the following conditions: The first major category is thymus diseases, with most patients experiencing thymic hyperplasia, and particularly, there may be cases of thymoma. If there is a thymoma, it is advised to undergo surgical treatment promptly. The second major category may involve hyperthyroidism, so it is essential to test thyroid function. Thirdly, some patients may also test positive for antinuclear antibodies, which requires careful differential diagnosis.

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Written by Zhang Hui
Neurology
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What should not be eaten in the case of myasthenia gravis?

Myasthenia gravis is an autoimmune disease of the nervous system, primarily due to dysfunction at the neuromuscular junction, leading to skeletal muscle fatigue. Symptoms include drooping eyelids, double vision, overall weakness, and even swallowing difficulties. Foods that should be avoided in myasthenia gravis mainly include certain medications, such as aminoglycoside antibiotics, which should not be taken orally by patients, as well as fluoroquinolone antibiotics. These antibiotics can exacerbate neuromuscular transmission disorders, potentially worsening the disease. Additionally, benzodiazepines, barbiturates, and some anti-arrhythmic drugs can also reduce muscle membrane excitability and should be avoided.

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Written by Liu Hong Mei
Neurology
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Can people with myasthenia gravis eat mangoes?

Patients with myasthenia gravis can eat mangoes and should consume more fresh vegetables and fruits. Mangoes are rich in flesh and fiber, and they taste sweet. They can help reduce cholesterol, quench thirst, promote blood circulation, improve circulation, and provide vitamins. Therefore, if patients with myasthenia gravis are not allergic to mangoes, they can include them in their diet. Mangoes contain a high amount of vitamins and are very nutritious. They also help facilitate bowel movements. Patients with myasthenia gravis should maintain a light diet, consuming foods that are high in protein, nutrition, and vitamins, and avoid spicy, stimulating, and exciting foods.

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Written by Shi De Quan
Neurology
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Can myasthenia gravis with eyelid drooping be cured?

Myasthenia gravis with ptosis is treatable. The ptosis is a manifestation of myasthenia gravis, which is generally mild. This type of myasthenia gravis is usually treatable with Pyridostigmine. If oral medication is ineffective, using steroids or immunosuppressants can also lead to recovery. This is typically a mild form of myasthenia gravis, so oral medication generally leads to a cure.

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Written by Zhang Hui
Neurology
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What department is myasthenia gravis under?

Myasthenia gravis, this disease definitely requires registration with the Department of Neurology as it is a relatively common disease in neurology, and doctors in other departments are not particularly familiar with this disease, let alone diagnosis and treatment. Myasthenia gravis is an immune disease of the nervous system, and patients may experience generalized fatigue, which can be alleviated after rest. It is characterized by clinical symptoms that are lighter in the morning and more severe in the evening. Additionally, symptoms such as ptosis, double vision, and even some difficulties in swallowing and unclear speech, known as bulbar paralysis, may occur. This disease requires a thorough chest CT scan, as many patients have an associated thymoma. Furthermore, an electromyography examination is needed to check for antibodies related to myasthenia gravis, which is also important for guiding further treatment.

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Written by Tang Bo
Neurology
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Myasthenia gravis initial symptoms

Myasthenia gravis is characterized by fluctuating and fatigue-prone muscle weakness in certain specific striated muscles. Symptoms are generally milder in the morning and more severe in the evening, worsening with continued activity and alleviating after rest. The most common initial symptom is weakness of the external eye muscles, primarily presenting as asymmetrical ptosis (drooping of the upper eyelid) or narrowing of the eye slit, along with diplopia, which refers to seeing double images. These are the most frequent initial symptoms, seen in over 50% of patients with myasthenia gravis. Additionally, some patients may experience disturbances in eye movement, facial muscle weakness, air leakage when puffing cheeks, incomplete eyelid closure, shallower nasolabial folds, as well as difficulty swallowing, speech articulation issues, choking while drinking, and potentially severe respiratory weakness.

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Written by Zhang Hui
Neurology
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What is good to eat for myasthenia gravis?

Myasthenia gravis is an autoimmune disease of the nervous system that primarily affects the neuromuscular junction, leading to muscle weakness and post-exertional fatigue. Some patients may also experience clinical symptoms such as ptosis and diplopia. The main treatments include corticosteroids and immunosuppressants. Patients with myasthenia gravis should pay attention to their diet: First, consume plenty of fresh vegetables and fruits, which are rich in vitamins that can provide sufficient immunity to prevent certain complications. Second, eat foods high in B vitamins, such as animal liver, lean meat, and whole grains, which are beneficial for patients. Third, patients should also consume high-quality proteins, which provide ample nutrition and increase resistance, including items such as milk, beef, and fish.

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Written by Zhang Hui
Neurology
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How to alleviate myasthenia gravis?

Myasthenia gravis is a disease of the department of neurology and its incidence is not low, it is also relatively common clinically. The treatment of myasthenia gravis mainly includes the following points: First, if patients with myasthenia gravis also have a thymoma, it is recommended to surgically remove the thymoma as soon as possible, which can significantly alleviate the symptoms of myasthenia gravis and reduce the amount of medication needed. Second, provide patients with some medication, mainly some drugs that suppress the immune response, including some corticosteroids. The use of corticosteroids is relatively complex, and must be gradually increased or decreased under the advice of a doctor. Do not stop taking them on your own. There are also some drugs that are cholinesterase inhibitors, which can increase the content of acetylcholine in the synaptic gap, alleviating the patient's symptoms. In addition, research has confirmed that some new immunosuppressive agents can also be used in the treatment of myasthenia gravis. In summary, the treatment of myasthenia gravis is a comprehensive subject and must be tailored according to the patient's condition.

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Written by Zhang Hui
Neurology
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Is it dangerous to have a fever with myasthenia gravis?

Myasthenia gravis is a disease of the neuromuscular junction, essentially an autoimmune inflammatory response that causes generalized weakness and fatigue of the skeletal muscles, with symptoms that are less severe in the morning and worsen by the evening, and fluctuate over time. The weakness can be alleviated by rest. When patients with myasthenia gravis develop a fever, it is generally considered to be caused by an infection, perhaps a viral infection such as an upper respiratory tract infection, which can also induce fever. In such cases, the main treatment involves drinking plenty of water and consuming fresh vegetables and fruits. If necessary, some antiviral medications and antipyretics may be administered. If the fever is due to a bacterial infection, symptomatic treatment should be accompanied by the appropriate antibiotics. However, the choice of antibiotics must be made with caution. Patients with myasthenia gravis should not use aminoglycosides or fluoroquinolones, as these could exacerbate their condition. Penicillins or cephalosporins may be used instead. (Please consult a professional physician for specific medication guidance.)

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Written by Zhang Hui
Neurology
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Myasthenia gravis belongs to which department?

Myasthenia gravis is an autoimmune disease of the nervous system, primarily affecting the neuromuscular junction where synaptic function is significantly impaired. This disease falls under the purview of neurology, and most neurologists are quite familiar with myasthenia gravis, considering it a common and frequently occurring neurological condition. Patients with myasthenia gravis typically exhibit symptoms such as drooping eyelids, double vision, and general fatigue. They experience a pathological tiredness, feeling extremely exhausted after minor activities, although rest can alleviate symptoms. These symptoms are also commonly associated with the nervous system, so it is appropriate to consult the neurology department. Treatment for patients with myasthenia gravis may involve administering immunoglobulins or corticosteroids, depending on the situation, while also taking precautions to prevent potential complications.