Simultaneous Combined Myositis, Inflammatory Polyneuropathy, and Overlap Myasthenic Syndrome

Immune-mediated neuromuscular disorders include pathologies of the peripheral nervous system, neuromuscular junction, and muscles. If overlap syndromes (or the association of almost two autoimmune disorders) are recognized, the simultaneous occurrence of several autoimmune neuromuscular disorders is...

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Main Authors: Stéphane Mathis, Laurent Magy, Philippe Corcia, Karima Ghorab, Laurence Richard, Jonathan Ciron, Mathilde Duchesne, Jean-Michel Vallat
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2016/6108234
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author Stéphane Mathis
Laurent Magy
Philippe Corcia
Karima Ghorab
Laurence Richard
Jonathan Ciron
Mathilde Duchesne
Jean-Michel Vallat
author_facet Stéphane Mathis
Laurent Magy
Philippe Corcia
Karima Ghorab
Laurence Richard
Jonathan Ciron
Mathilde Duchesne
Jean-Michel Vallat
author_sort Stéphane Mathis
collection DOAJ
description Immune-mediated neuromuscular disorders include pathologies of the peripheral nervous system, neuromuscular junction, and muscles. If overlap syndromes (or the association of almost two autoimmune disorders) are recognized, the simultaneous occurrence of several autoimmune neuromuscular disorders is rare. We describe two patients presenting the simultaneous occurrence of inflammatory neuropathy, myositis, and myasthenia gravis (with positive acetylcholine receptor antibodies). For each patient, we carried out a pathological analysis (nerve and muscle) and an electrophysiological study (and follow-up). To our knowledge, this is the first description of such a triple immune-mediated neuromuscular syndrome. We compared our observations with a few other cases of simultaneous diagnosis of two inflammatory neuromuscular disorders.
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institution Kabale University
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publishDate 2016-01-01
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series Case Reports in Neurological Medicine
spelling doaj-art-4193893c8e714f13b288d3af0a71db232025-08-20T03:55:40ZengWileyCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/61082346108234Simultaneous Combined Myositis, Inflammatory Polyneuropathy, and Overlap Myasthenic SyndromeStéphane Mathis0Laurent Magy1Philippe Corcia2Karima Ghorab3Laurence Richard4Jonathan Ciron5Mathilde Duchesne6Jean-Michel Vallat7Department of Neurology, Nerve-Muscle Unit, CHU Bordeaux (Groupe Hospitalier Pellegrin), place Amélie-Raba-Léon, 33000 Bordeaux, FranceDepartment of Neurology, Centre de Référence “Neuropathies Périphériques Rares”, CHU Limoges, 2 avenue Martin Luther King, 87042 Limoges, FranceDepartment of Neurology, CHU Bretonneau, 2 boulevard Tonnellé, 37044 Tours, FranceDepartment of Neurology, Centre de Référence “Neuropathies Périphériques Rares”, CHU Limoges, 2 avenue Martin Luther King, 87042 Limoges, FranceDepartment of Neurology, Centre de Référence “Neuropathies Périphériques Rares”, CHU Limoges, 2 avenue Martin Luther King, 87042 Limoges, FranceDepartment of Neurology, CHU Poitiers, 2 rue de la Milétrie, 86021 Poitiers, FranceDepartment of Neurology, Centre de Référence “Neuropathies Périphériques Rares”, CHU Limoges, 2 avenue Martin Luther King, 87042 Limoges, FranceDepartment of Neurology, Centre de Référence “Neuropathies Périphériques Rares”, CHU Limoges, 2 avenue Martin Luther King, 87042 Limoges, FranceImmune-mediated neuromuscular disorders include pathologies of the peripheral nervous system, neuromuscular junction, and muscles. If overlap syndromes (or the association of almost two autoimmune disorders) are recognized, the simultaneous occurrence of several autoimmune neuromuscular disorders is rare. We describe two patients presenting the simultaneous occurrence of inflammatory neuropathy, myositis, and myasthenia gravis (with positive acetylcholine receptor antibodies). For each patient, we carried out a pathological analysis (nerve and muscle) and an electrophysiological study (and follow-up). To our knowledge, this is the first description of such a triple immune-mediated neuromuscular syndrome. We compared our observations with a few other cases of simultaneous diagnosis of two inflammatory neuromuscular disorders.http://dx.doi.org/10.1155/2016/6108234
spellingShingle Stéphane Mathis
Laurent Magy
Philippe Corcia
Karima Ghorab
Laurence Richard
Jonathan Ciron
Mathilde Duchesne
Jean-Michel Vallat
Simultaneous Combined Myositis, Inflammatory Polyneuropathy, and Overlap Myasthenic Syndrome
Case Reports in Neurological Medicine
title Simultaneous Combined Myositis, Inflammatory Polyneuropathy, and Overlap Myasthenic Syndrome
title_full Simultaneous Combined Myositis, Inflammatory Polyneuropathy, and Overlap Myasthenic Syndrome
title_fullStr Simultaneous Combined Myositis, Inflammatory Polyneuropathy, and Overlap Myasthenic Syndrome
title_full_unstemmed Simultaneous Combined Myositis, Inflammatory Polyneuropathy, and Overlap Myasthenic Syndrome
title_short Simultaneous Combined Myositis, Inflammatory Polyneuropathy, and Overlap Myasthenic Syndrome
title_sort simultaneous combined myositis inflammatory polyneuropathy and overlap myasthenic syndrome
url http://dx.doi.org/10.1155/2016/6108234
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