Barinka K, Broz F, Nalos D, Bakosová M
Cas Lek Cesk. 1989 Dec 15;128(51):1624-6.
Therapeutic plasmapheresis is nowadays the method of choice in severe cases of myasthenia gravis. The authors confirm the therapeutic effect of this method and emphasize its importance in the differential diagnosis of severe cases where myasthenia gravis is suspected only from clinical symptoms, and electromyographic, roentgenological and laboratory evidence (antibodies against acetylcholine receptors) is lacking. The mentioned procedure led to thymectomy with the finding of a tumour of the thymus within three and a half months after the development of the first symptoms of the disease.
如今,治疗性血浆置换是重症肌无力严重病例的首选方法。作者证实了该方法的治疗效果,并强调其在仅根据临床症状怀疑为重症肌无力,而缺乏肌电图、放射学及实验室证据(抗乙酰胆碱受体抗体)的严重病例鉴别诊断中的重要性。上述治疗过程导致在疾病首次出现症状后的三个半月内进行了胸腺切除术,并发现了胸腺肿瘤。