• Arch Neurol Chicago · Jun 2005

    Case Reports

    Anti-MuSK myasthenia gravis presenting with purely ocular findings.

    • James B Caress, Christopher H Hunt, and Sat Dev Batish.
    • Department of Neurology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. jcaress@wfubmc.edu
    • Arch Neurol Chicago. 2005 Jun 1; 62 (6): 1002-3.

    BackgroundAntibodies to a muscle-specific receptor tyrosine kinase (MuSK) have been found in approximately 40% of patients with generalized myasthenia gravis who are seronegative for the antiacetylcholine receptor antibody. Many of the patients with anti-MuSK antibodies have prominent oculobulbar symptoms or weakness of the neck and respiratory muscles, but patients with ocular myasthenia have not been described.ObjectiveTo report a case of ocular myasthenia due to anti-MuSK antibodies.PatientA young woman with ocular myasthenia and antibodies to MuSK.ResultsAnti-MuSK antibody was detected by radioimmunoassay using highly purified MuSK recombinant antigen.ConclusionOcular myasthenia gravis is a presentation of the anti-MuSK antibody syndrome.

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