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Description of 3 patients with myasthenia gravis and COVID-19.

Identifieur interne : 000677 ( Main/Exploration ); précédent : 000676; suivant : 000678

Description of 3 patients with myasthenia gravis and COVID-19.

Auteurs : Netaniel Rein [Israël] ; Nitzan Haham [Israël] ; Efrat Orenbuch-Harroch [Israël] ; Marc Romain [Israël] ; Zohar Argov [Israël] ; Adi Vaknin-Dembinsky [Israël] ; Marc Gotkine [Israël]

Source :

RBID : pubmed:32731059

Descripteurs français

English descriptors

Abstract

BACKGROUND

The COVID-19 pandemic presents two main concerns for patients with myasthenia gravis (MG); chronic immunosuppression may put them at greater risk, and some proposed treatments for COVID-19 could cause MG exacerbation.

CASE DESCRIPTION

We present three patients with generalized seropositive MG who developed COVID-19. All patients had a favorable outcome, with only one patient experiencing exacerbation. In this case, exacerbation began before COVID-19; she required ICU admission, non-invasive ventilatory support, and received hydroxychloroquine, lopinavir and ritonavir which were well tolerated. One patient received IVIG in place of scheduled plasma exchange.

CONCLUSION

Outcome was favorable in all cases despite immunosuppressive therapy, use of experimental COVID-19 medication and switching of plasma exchange for IVIG.


DOI: 10.1016/j.jns.2020.117053
PubMed: 32731059


Affiliations:


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Le document en format XML

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<term>Aged (MeSH)</term>
<term>Azithromycin (therapeutic use)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (drug therapy)</term>
<term>Diabetes Mellitus, Type 2 (complications)</term>
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<term>Adulte (MeSH)</term>
<term>Azithromycine (usage thérapeutique)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Diabète de type 2 (complications)</term>
<term>Femelle (MeSH)</term>
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<term>Pandémies</term>
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<b>BACKGROUND</b>
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<p>The COVID-19 pandemic presents two main concerns for patients with myasthenia gravis (MG); chronic immunosuppression may put them at greater risk, and some proposed treatments for COVID-19 could cause MG exacerbation.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CASE DESCRIPTION</b>
</p>
<p>We present three patients with generalized seropositive MG who developed COVID-19. All patients had a favorable outcome, with only one patient experiencing exacerbation. In this case, exacerbation began before COVID-19; she required ICU admission, non-invasive ventilatory support, and received hydroxychloroquine, lopinavir and ritonavir which were well tolerated. One patient received IVIG in place of scheduled plasma exchange.</p>
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<p>
<b>CONCLUSION</b>
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<p>Outcome was favorable in all cases despite immunosuppressive therapy, use of experimental COVID-19 medication and switching of plasma exchange for IVIG.</p>
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<name sortKey="Vaknin Dembinsky, Adi" sort="Vaknin Dembinsky, Adi" uniqKey="Vaknin Dembinsky A" first="Adi" last="Vaknin-Dembinsky">Adi Vaknin-Dembinsky</name>
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