Rungby J A, Trojaborg N S, Lühdorf K
Ore-, naese-, halsafdelingen, Amtssygehuset i Roskilde.
Ugeskr Laeger. 1998 Mar 16;160(12):1805-6.
We present a case story of a 70-year-old female, who went through several examinations, multiple paraclinical investigations and lost 15 kg in bodyweight over a six month period, before the diagnosis myasthenia gravis (MG) was made. Dysphagia was from the early phase her most prominent and persistent complaint. However, other symptoms, thought to be allergic reactions, made the diagnosis difficult. The patient's symptoms are discussed. Most of these are consistent with MG, but on the other hand rare at the beginning of the disease. This report is a reminder that MG may present as dysphagia, addressed in particular to otolaryngologists and gastrosurgeons.
我们介绍了一位70岁女性的病例，在诊断为重症肌无力（MG）之前，她接受了多项检查、多项辅助临床检查，并且在六个月内体重减轻了15公斤。吞咽困难从疾病早期就是她最突出且持续存在的症状。然而，其他被认为是过敏反应的症状使得诊断变得困难。文中对患者的症状进行了讨论。其中大多数症状与重症肌无力相符，但另一方面在疾病初期又较为罕见。本报告旨在提醒人们，重症肌无力可能以吞咽困难为表现，尤其针对耳鼻喉科医生和胃肠外科医生。
