A Myasthenia Gravis Case Diagnosed Simultaneously with Diabetic Ketoacidosis

Juvenile myasthenia gravis (JMG) is an autoimmune disease caused by antibodies affecting the postsynaptic membrane at the neuromuscular junction. The association of JMG with Type I diabetes mellitus (DM), another autoimmune disease, is very rare and the pathogenesis has not been fully explained. Our...

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Main Authors: Gülin Karacan Küçükali, Şakire Başer, Mehpare Özkan, Şenay Savaş Erdeve, Zehra Aycan
Format: Article
Language:English
Published: Galenos Yayinevi 2019-03-01
Series:Journal of Pediatric Research
Subjects:
Online Access: http://jpedres.org/archives/archive-detail/article-preview/a-myasthenia-gravis-case-diagnosed-simultaneously-/26279
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author Gülin Karacan Küçükali
Şakire Başer
Mehpare Özkan
Şenay Savaş Erdeve
Zehra Aycan
author_facet Gülin Karacan Küçükali
Şakire Başer
Mehpare Özkan
Şenay Savaş Erdeve
Zehra Aycan
author_sort Gülin Karacan Küçükali
collection DOAJ
description Juvenile myasthenia gravis (JMG) is an autoimmune disease caused by antibodies affecting the postsynaptic membrane at the neuromuscular junction. The association of JMG with Type I diabetes mellitus (DM), another autoimmune disease, is very rare and the pathogenesis has not been fully explained. Our case is the youngest patient where this association has been reported in the literature and presented at the age of 4 years when diabetic ketoacidosis developed together with the emergence of ocular myasthenia findings. She is the only case diagnosed with JMG among the 510 Type I DM patients followed-up at our clinic. Although an autoimmune process may have triggered both autoimmune diseases at the same time in this case, we believe the diabetic ketoacidosis was a triggering factor for the JMG and discuss this association.
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spelling doaj.art-6c2e659ba44f4fb78d3810dd2414ed082023-02-15T16:07:34ZengGalenos YayineviJournal of Pediatric Research2147-94452587-24782019-03-0161737610.4274/jpr.galenos.2018.2656613049054A Myasthenia Gravis Case Diagnosed Simultaneously with Diabetic KetoacidosisGülin Karacan Küçükali0Şakire Başer1Mehpare Özkan2Şenay Savaş Erdeve3Zehra Aycan4 Ankara Dr. Sami Ulus Obstetrics and Gynecology Children’s Health and Disease Training and Research Hospital, Clinic of Pediatric Endocrinology, Ankara, Turkey Ankara Dr. Sami Ulus Obstetrics and Gynecology Children’s Health and Disease Training and Research Hospital, Clinic of Pediatrics, Ankara, Turkey Ankara Dr. Sami Ulus Obstetrics and Gynecology Children’s Health and Disease Training and Research Hospital, Clinic of Pediatric Neurology, Ankara, Turkey Ankara Dr. Sami Ulus Obstetrics and Gynecology Children’s Health and Disease Training and Research Hospital, Clinic of Pediatric Endocrinology, Ankara, Turkey Ankara Dr. Sami Ulus Obstetrics and Gynecology Children’s Health and Disease Training and Research Hospital, Clinic of Pediatric Endocrinology, Ankara, Turkey Juvenile myasthenia gravis (JMG) is an autoimmune disease caused by antibodies affecting the postsynaptic membrane at the neuromuscular junction. The association of JMG with Type I diabetes mellitus (DM), another autoimmune disease, is very rare and the pathogenesis has not been fully explained. Our case is the youngest patient where this association has been reported in the literature and presented at the age of 4 years when diabetic ketoacidosis developed together with the emergence of ocular myasthenia findings. She is the only case diagnosed with JMG among the 510 Type I DM patients followed-up at our clinic. Although an autoimmune process may have triggered both autoimmune diseases at the same time in this case, we believe the diabetic ketoacidosis was a triggering factor for the JMG and discuss this association. http://jpedres.org/archives/archive-detail/article-preview/a-myasthenia-gravis-case-diagnosed-simultaneously-/26279 Type I diabetes mellitusdiabetic ketoacidosisjuvenile myasthenia gravis
spellingShingle Gülin Karacan Küçükali
Şakire Başer
Mehpare Özkan
Şenay Savaş Erdeve
Zehra Aycan
A Myasthenia Gravis Case Diagnosed Simultaneously with Diabetic Ketoacidosis
Journal of Pediatric Research
Type I diabetes mellitus
diabetic ketoacidosis
juvenile myasthenia gravis
title A Myasthenia Gravis Case Diagnosed Simultaneously with Diabetic Ketoacidosis
title_full A Myasthenia Gravis Case Diagnosed Simultaneously with Diabetic Ketoacidosis
title_fullStr A Myasthenia Gravis Case Diagnosed Simultaneously with Diabetic Ketoacidosis
title_full_unstemmed A Myasthenia Gravis Case Diagnosed Simultaneously with Diabetic Ketoacidosis
title_short A Myasthenia Gravis Case Diagnosed Simultaneously with Diabetic Ketoacidosis
title_sort myasthenia gravis case diagnosed simultaneously with diabetic ketoacidosis
topic Type I diabetes mellitus
diabetic ketoacidosis
juvenile myasthenia gravis
url http://jpedres.org/archives/archive-detail/article-preview/a-myasthenia-gravis-case-diagnosed-simultaneously-/26279
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