Autoimmune disorder plagues patient

DEAR DR. GOTT: I have myasthenia gravis and am under good care. These are my symptoms: low energy, shortness-of-breath, shaking, sluggish bowels, cramps in hands and legs, blurring vision some times, and my voice is raspy.

My medications are prednisone, Benicar, baby aspirin, vitamin D all daily and Pyridostigmine four times a day.

I would appreciate any additional information. I’m a 79-year-old male.
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Daily Column

DEAR DR. GOTT:
We have an 8-year-old daughter diagnosed with myasthenia gravis. We’re told there is nothing to do for it except to make her medication stronger. What is your advice?

DEAR READER:
Myasthenia gravis is a chronic autoimmune neuromuscular disease that results from a defect in movement of nerve signals between the muscles and nerve fibers. Symptoms often begin with double vision, weakness of facial muscles, droopy eyelids and extend to those muscles that help us breathe. The condition is common in juveniles, is not hereditary, nor is it contagious.

With treatment the outlook is very good. Medication to improve muscle strength, surgical removal of the thymus gland, removal of abnormal antibodies from the blood, [Read more...]

Daily Column

DEAR DR. GOTT:
My eyelid droopiness and unexplained body weakness led to a diagnosis of myasthenia gravis. Please provide further information on the condition and its treatment.

DEAR READER:
Myasthenia gravis is a chronic autoimmune disease that causes muscle weakness that can increase during periods of activity and decrease following rest.

Initial symptoms can be an eyelid that droops, blurred or double vision, slurred speech, weakness of the extremities, shortness of breath, or unsteady gait.

It is caused by a defect in the transmission of nerve impulses to voluntary muscles. Impulses travel down a nerve in a healthy individual. Nerve endings release a neurotransmitter substance known as acetylcholine. This substance then travels through the neuromuscular junction and [Read more...]