Myasthenia gravis

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Complications

By Mayo Clinic staff

Complications of myasthenia gravis are treatable, but some can be life-threatening.

Myasthenic crisis
Myasthenic crisis is a life-threatening condition that occurs when the muscles that control breathing become too weak to do their jobs. Emergency treatment is needed to provide mechanical assistance with breathing. Medications and blood-filtering therapies help people to again breathe on their own.

Thymus tumors
About 15 percent of people with myasthenia gravis have a tumor in their thymus, a gland under the breastbone that is involved with the immune system. Most of these tumors, called thymomas, aren't cancerous (malignant).

Other disorders
People with myasthenia gravis are more likely to have the following conditions:

  • Underactive or overactive thyroid. The thyroid gland, which is in the neck, secretes hormones that regulate your metabolism. If your thyroid is underactive, you may have difficulties dealing with cold, weight gain and other issues. An overactive thyroid can cause difficulties dealing with heat, weight loss and other issues.
  • Autoimmune conditions. People with myasthenia gravis may be more likely to have autoimmune conditions, such as rheumatoid arthritis or lupus.
References
  1. Myasthenia gravis fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/myasthenia_gravis/detail_myasthenia_gravis.htm. Accessed Jan. 18, 2013.
  2. Myasthenia gravis. Office of Women's Health. U.S. Department of Health and Human Services. http://www.womenshealth.gov/publications/our-publications/fact-sheet/myasthenia-gravis.cfm. Accessed Feb. 4, 2013.
  3. Bird SJ. Clinical manifestations of myasthenia gravis. http://www.uptodate.com/home. Accessed Jan. 18, 2013.
  4. Allan W. Pathogenesis of myasthenia gravis. http://www.uptodate.com/home. Accessed Feb. 6, 2013.
  5. Bird SJ. Diagnosis of myasthenia gravis. http://www.uptodate.com/home. Accessed Jan. 18, 2013.
  6. Rubin DI. Neurologic manifestations of hyperthyroidism and Graves' disease. http://www.uptodate.com/home. Accessed Feb. 6, 2013.
  7. Rubin DI. Neurologic manifestations of hypothyroidism. http://www.uptodate.com/home. Accessed Feb. 6, 2013.
  8. Bird SJ. Treatment of myasthenia gravis. http://www.uptodate.com/home. Accessed Jan. 18, 2013.
  9. Bodamer OA, et al. Neuromuscular junction disorders in newborns and infants. http://www.uptodate.com/home. Accessed Feb. 7, 2013.
  10. Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed Jan. 28, 2013.
  11. Bird SJ. Chronic immunomodulating therapies for myasthenia gravis. http://www.uptodate.com/home. Accessed Feb. 7, 2013.
  12. Bird SJ. Thymectomy for myasthenia gravis. http://www.uptodate.com/home. Accessed Feb. 5, 2013.
  13. Limmer KK, et al. Minimally invasive and robotic-assisted thymus reduction. Thoracic Surgery Clinics. 2011;21:69.
  14. Barbara Woodward Lips Patient Education Center. Myasthenia gravis: A guide for patients. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2003.
  15. How can I provide emotional support for a relative who has MG? Myasthenia Gravis Association of America. http://www.myasthenia.org/LivingwithMG/InformationalMaterials.aspx. Accessed Feb. 7, 2013.
  16. U.S. News best hospitals 2012-2013. U.S. News & World Report. http://health.usnews.com/best-hospitals/rankings. Accessed Jan. 25, 2013.
  17. Crum BA (expert opinion). Mayo Clinic, Rochester, Minn. April 1, 2013.
DS00375 April 23, 2013

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