Reversible tongue atrophy in a patient with acetylcholine receptor antibody-positive myasthenia gravis

Author:

Wang Aihua1,Zhang Wenbo1,Yang Yang1,Si Zhihua1,Liu Ying1,Xu Huifan1,Wang Dawei1,Wang Yi1,Xu Juanjuan1,Kan Wenjing2,Liu Rutao1

Affiliation:

1. The First Affiliated Hospital of Shandong First Medical University

2. Linyi Foreign Language School

Abstract

Abstract Background Tongue atrophy is an uncommon symptom of myasthenia gravis (MG), especially rare in acetylcholine receptor antibody-positive patients (AchR-MG). Little information could be acquired about its prognosis. Case presentation: Here, we report a case of pronounced tongue atrophy in a 53-year-old AchR-MG man who has been misdiagnosed as myopathy for seven years. After treating with oral corticosteroid and pyridostigmine bromide for 3 months, the tongue volume and the electrophysiological changes restored quickly. Conclusion Our case shows a good prognosis of the tongue atrophy in AchR-MG following correct and timely diagnosis.

Publisher

Research Square Platform LLC

Reference6 articles.

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5. Neurogenic muscle involvement in myasthenia gravis. A clinical and histopathological study;Oosterhuis H;J Neurol Neurosurg Psychiatry Apr,1973

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