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Journal of Child Neurology
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Ocular Myasthenia Gravis and Graves Disease in a 10-year-old Child

Ildiko H. Koves, FRACP

Department of Endocrinology and Diabetes, Royal Children's Hospital, Melbourne, Australia

Fergus J. Cameron, FRACP

Department of Endocrinology and Diabetes, Royal Children's Hospital, Melbourne, Australia

Andrew J. Kornberg, FRACP

Department of Neurology, Royal Children's Hospital, Melbourne, Australia, andrew.kornberg{at}rch.org.au

We report the association between myasthenia gravis and Graves disease in a 10-year-old boy and discuss the important aspects of both diseases, the importance of recognizing the association, and the investigations of choice to distinguish the 2 disorders. Early diagnosis of the 2 disorders may help in effective treatment institution with more rapid treatment responses with a possible improvement in prognosis and clinical course. Resolution of myasthenia gravis is not expected until the euthyroid state is restored. We recommend complete thyroid status review on all patients presenting with ocular myasthenia gravis.

Key Words: Graves disease • hyperthyroidism • myasthenia gravis

Journal of Child Neurology, Vol. 24, No. 5, 615-617 (2009)
DOI: 10.1177/0883073808324777
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