de Carvalho M F, Abrahão T C, Assaf M
Unidade de Terapia Intensiva do Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil.
Arq Neuropsiquiatr. 1998 Mar;56(1):137-40. doi: 10.1590/s0004-282x1998000100025.
We report the case of a 24-year-old white woman admitted with a four year diagnosis of systemic lupus erythematosus and the recent onset of myasthenia gravis discussing the main differential diagnosis of weakness and fatigue in this patient. A review of literature approaching the association of myasthenia gravis and systemic lupus erythematosus is also done with emphasis on the clinical characteristics of these patients and the role of thymoma and thymectomy in the development of systemic lupus erythematosus in myasthenic patients.
我们报告了一例24岁白人女性病例,该患者有四年系统性红斑狼疮诊断史,近期出现重症肌无力,同时讨论了该患者肌无力和疲劳的主要鉴别诊断。我们还对重症肌无力与系统性红斑狼疮关联的文献进行了综述,重点关注这些患者的临床特征以及胸腺瘤和胸腺切除术在重症肌无力患者系统性红斑狼疮发病中的作用。