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Age and Ageing 2006 35(1):87-88; doi:10.1093/ageing/afj001
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© The Author 2006. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Myasthenia gravis—a rare presentation with tongue atrophy and fasciculation

J. Burch1, C. Warren-Gash1, V. Ingham1, M. Patel1, D. Bennett2 and K. R. Chaudhuri2

1 Elderly Medicine Directorate, University Hospital Lewisham, London, UK
2 Department of Neurology, Kings College Hospital, London, UK

Address correspondence to: J. Burch. Email: jessiburch{at}doctors.org.uk

We report the case of an unusual presentation of myasthenia gravis with tongue atrophy and fasciculation. Myasthenia gravis is an autoimmune condition associated with weakness and fatigability of voluntary muscles. In >50%, the initial symptoms and signs are related to extraocular muscle weakness, such as diplopia or ptosis [Tsung K, Seggev JS. An unusual cause of dysphagia. West J Med 1995; 163: 159–60]. Rarely, it is known to affect bulbar muscles and can lead to dysphagia and respiratory compromise.

Keywords: myasthenia, elderly, fasciculations

Received July 1, 2005; accepted in revised form October 4, 2005.


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