Ocul Immunol Inflamm. 2013;21(1):44-6. doi: 10.3109/09273948.2012.726687.
To report 2 cases of idiopathic anterior uveitis with coexistent myasthenia gravis.
Retrospective case reports.
A 60-year-old male and a 40-year-old male presented with chronic nongranulomatous anterior uveitis of unknown etiology. The latter had a history of hypothyroidism. During follow-up examinations, they developed bilateral ptosis. Neuromuscular conduction studies revealed systemic myasthenia in the former and ocular myasthenia in the later. Both the cases responded well to oral steroids and immunosuppressants.
The authors report two interesting case reports of idiopathic anterior uveitis with coexistent myasthenia gravis. In patients with chronic anterior uveitis who develop ptosis, it may be worthwhile to perform an ice test and appropriate laboratory studies and/or nerve conduction imaging to rule out myasthenia.
报告 2 例特发性前部葡萄膜炎合并重症肌无力。
回顾性病例报告。
1 例 60 岁男性和 1 例 40 岁男性均表现为不明原因的慢性非肉芽肿性前部葡萄膜炎。后者有甲状腺功能减退症病史。随访检查时，他们均出现双侧上睑下垂。神经肌肉传导研究显示前者为全身重症肌无力，后者为眼肌重症肌无力。这两例患者均对口服类固醇和免疫抑制剂治疗反应良好。
作者报告了 2 例特发性前部葡萄膜炎合并重症肌无力的有趣病例。对于患有慢性前部葡萄膜炎且出现上睑下垂的患者，进行冰试验和适当的实验室研究和/或神经传导成像以排除重症肌无力可能是值得的。
