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Myasthenia gravis presentation and treatment variations

A case study approach

Deters, Darlene MSN ARNP-BC1,2; Patel, Darpan I. PhD (Clinical Associate Professor)1

Journal of the American Association of Nurse Practitioners: May 2019 - Volume 31 - Issue 5 - p 319–323
doi: 10.1097/JXX.0000000000000177
Clinical and Case Study Article

ABSTRACT Myasthenia gravis (MG) is an autoimmune neuromuscular disorder that can affect the ocular, bulbar, neck, proximal limb, and respiratory muscles. This case study presents two similar individuals diagnosed with MG that presented with varying symptomatology and also with a different response to therapy. These two patients represent a unique patient group that represents only 10% of patients diagnosed with MG.

1School of Nursing, University of Texas Health Science Center, San Antonio, Texas; and

2Joint Base San Antonio, Brooks Army Medical Center, San Antonio, Texas

Correspondence: Darlene R Deters, MSN, ARNP-BC, University of Texas Health Science Center at San Antonio (UTHSCSA), 7703 Floyd Curl Dr San Antonio, TX 78229-3900. Tel: 210-240-4864; Fax: 210-916-3330; E-mail:

Competing interests: The authors report no conflicts of interest.

Authors' contributions: Darlene Deters's contributions were conceptualization, writing, and editing of the original manuscript. Dr. Darpan Patel's contributions were writing and editing of the original manuscript.

Disclaimer: “The view(s) expressed herein are those of the author(s) and do not reflect the official policy or position of Brooke Army Medical Center, the U.S. Army Medical Department, the U.S. Army Office of the Surgeon General, the Department of the Army, the Department of the Air Force, or the Department of Defense or the U.S. Government.”

Received September 06, 2018

Accepted November 12, 2018

© 2019 American Association of Nurse Practitioners
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