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Clinical Characteristics of Juvenile Myasthenia Gravis in Southern China

Overview of attention for article published in Frontiers in Neurology, February 2018
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Title
Clinical Characteristics of Juvenile Myasthenia Gravis in Southern China
Published in
Frontiers in Neurology, February 2018
DOI 10.3389/fneur.2018.00077
Pubmed ID
Authors

Xin Huang, Yingkai Li, Huiyu Feng, Pei Chen, Weibin Liu

Abstract

To describe the clinical profile, clinical outcomes and factors that may affect the outcome of juvenile myasthenia gravis (JMG) patients in southern China. We reviewed information relating to JMG patients treated and evaluated at the First Affiliated Hospital, Sun Yat-sen University, between 1998 and 2015. The study involved 327 JMG patients who had been followed up for ≥1 year. Overall, 77.4% patients showed initial symptoms in the prepubertal period (<12 years). 306 patients showed only ocular symptoms at onset. By the final follow-up, 61 ocular myasthenia gravis (OMG) patients (61/306, 19.9%) had developed generalized myasthenia gravis (GMG). Anti-acetylcholine receptor antibodies (AChR-Ab) titer was an independent risk factor for generalization. Eleven patients (3.4%) experienced spontaneous remission, but four relapsed. Low-dose oral prednisone (0.25 mg/kg) was administered when symptoms did not significantly improve after pyridostigmine treatment. Immunosuppressants were administered when prednisone was unsatisfactory. Optimal outcome was achieved in 59.6% of patients. Specifically, 60 patients (18.3%) attained complete stable remission (CSR), 12 (3.7%) attained pharmaceutical remission (PR), and 123 (37.6%) attained minimal manifestation (MM). In total, 53 OMG patients (21.5%) attained CSR, a significantly higher proportion than among the GMG patients (8.6%, P = 0.009). Moreover, 67.2% of patients with duration <2 years showed significant clinical improvement compared with 46.3% of those with duration >2 years (P < 0.001). Thymectomy did not exhibit definite efficacy for JMG patients. There was a low frequency of cases positive for AChR-Ab in the Chinese population. AChR-Ab titer was revealed as an independent risk factor for generalization. Low doses of prednisone could treat JMG effectively with few side effects.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 38 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 38 100%

Demographic breakdown

Readers by professional status Count As %
Other 5 13%
Student > Postgraduate 4 11%
Researcher 3 8%
Student > Doctoral Student 2 5%
Student > Bachelor 2 5%
Other 6 16%
Unknown 16 42%
Readers by discipline Count As %
Medicine and Dentistry 17 45%
Unspecified 1 3%
Nursing and Health Professions 1 3%
Mathematics 1 3%
Economics, Econometrics and Finance 1 3%
Other 1 3%
Unknown 16 42%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 February 2018.
All research outputs
#20,466,701
of 23,025,074 outputs
Outputs from Frontiers in Neurology
#8,938
of 11,916 outputs
Outputs of similar age
#291,830
of 330,058 outputs
Outputs of similar age from Frontiers in Neurology
#191
of 262 outputs
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