Tan J H, Ho K H
Department of Medicine, National University Hospital, Singapore.
Singapore Med J. 2001 Apr;42(4):178-9.
Familial Autoimmune Myasthenia Gravis (FAMG) is rarely reported. We present a mother and son with late-onset mild to moderate ocular disease, low acetylcholine receptor antibody titre and the absence of a thymoma. Both responded well to low doses of anticholinesterase. HLA typing revealed that they did not share the usual HLA antigens or haplotypes with that previously reported in Caucasian and Chinese sporadic Myasthenia Gravis. Chinese FAMG may be associated with HLA antigens different from that of sporadic MG.
家族性自身免疫性重症肌无力(FAMG)鲜有报道。我们报告了一位母亲和她的儿子,他们患有迟发性轻至中度眼部疾病,乙酰胆碱受体抗体滴度低且无胸腺瘤。两人对低剂量抗胆碱酯酶治疗反应良好。HLA分型显示,他们与先前报道的白种人和中国散发性重症肌无力患者不共享常见的HLA抗原或单倍型。中国的FAMG可能与不同于散发性重症肌无力的HLA抗原相关。