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The British Journal of Psychiatry 136: 92-93 (1980)
© 1980 The Royal College of Psychiatrists

Myasthenia gravis--the difficult diagnosis

J Sneddon

Twenty-six patients with proven myasthenia gravis were interviewed to assess the length of time between onset of symptoms, presentation to the general practitioner and diagnosis. In one third the initial diagnosis was psychiatric and the average time between presentation and correct diagnosis was 2.8 years for men, 1.2 years for premenopausal women and three weeks for postmenopausal women. Diagnosis could have been made much earlier if doctors had been familiar with early symptoms in this relatively rare disease. Symptoms and signs fluctuated and were at times absent, especially in the mornings.


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K. Scherer, R. S. Bedlack, and D. L. Simel
Does This Patient Have Myasthenia Gravis?
JAMA, April 20, 2005; 293(15): 1906 - 1914.
[Abstract] [Full Text] [PDF]




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Copyright © 1980 The Royal College of Psychiatrists.