Factors affecting outcome in myasthenia gravis.

Journal Article

Information from myasthenia gravis (MG) patients treated and evaluated for at least 2 years between 1980 and 2014 was reviewed to assess the effect of demographics, antibody status and titer, thymus histology, and clinical severity on outcome after 2, 5, and 10 years of treatment.Among 268 patients, 74% had acetylcholine receptor antibodies, 5% had muscle specific tyrosine kinase-antibodies, and 22% had neither. Optimal outcome was achieved by 64% of patients at 2 years of follow-up, 73% at 5 years, and 75% after 10 years. Optimal outcome was achieved more often in patients with late onset, in those who had thymectomy, and in those with ocular-only disease at maximum severity. The only consistent independent predictor of optimal outcome was onset after age 50 years on multivariate analysis.Prognosis is favorable for the majority of MG patients, regardless of age, maximum disease severity, or antibody status. Muscle Nerve, 2016 Muscle Nerve 54: 1041-1049, 2016.

Full Text

Duke Authors

Cited Authors

  • Andersen, JB; Gilhus, NE; Sanders, DB

Published Date

  • December 2016

Published In

Volume / Issue

  • 54 / 6

Start / End Page

  • 1041 - 1049

PubMed ID

  • 27251303

Electronic International Standard Serial Number (EISSN)

  • 1097-4598

International Standard Serial Number (ISSN)

  • 0148-639X

Digital Object Identifier (DOI)

  • 10.1002/mus.25205

Language

  • eng