Szekamova S, Répássy G, Lapis K, Szobor A, Szathmáry I
Morphol Igazsagugyi Orv Sz. 1978 Apr;18(2):107-16.
Ultrastructural changes in 35 neuromuscular junctions taken from myasthenic patients (in 2 cases: hyperplasia of the thymus, in 1 case: epithelial thymoma was present) treated with anticholinesterase during 1--2 years, appeared to be similar to those observed in non-myasthenic patients with lymphoid thymoma (getting no treatment with anticholinesterase). Number of the secretory granules in the epithelial cells of the thymus was in accordance with the severity of the disease. It can be assumed, that in the disturbance of the neuro-muscular transmission of the stimuli the activation of the epithelial cells may play a part.
对35例接受抗胆碱酯酶治疗1至2年的重症肌无力患者(2例伴有胸腺增生,1例存在上皮性胸腺瘤)的神经肌肉接头进行超微结构检查,结果显示与未接受抗胆碱酯酶治疗的淋巴样胸腺瘤非重症肌无力患者相似。胸腺上皮细胞中分泌颗粒的数量与疾病严重程度相符。可以推测,在神经肌肉刺激传递紊乱中,上皮细胞的激活可能起了一定作用。