Ocular myasthenia gravis accompanied by anosmia  

作　　者：Chen Ying Wang Li Zhou Li Gao Ying 

机构地区：[1]Second Encephalopathy Department, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine [2]Rehabilitation Department, Lichuan People's Hospital in Hubei Province

出　　处：《Journal of Traditional Chinese Medicine》2016年第1期125-130,共6页中医杂志（英文版）

摘　　要：We report a case of ocular myasthenia gravis(MG)accompanied by anosmia. A 76-year-old man had idiopathic anosmia of 2-year duration. Four months before consultation, he began to have drooping in the right upper eyelid along with muscle soreness,distension, and pain in the nape. His tongue was dark-red with a thin and white coating; his pulse was wiry and slippery. According to Traditional Chinese Medicine, eyelid drooping and anosmia are the main signs of liver constraint and spleen deficiency. In Western Medicine, the diagnosis was ocular MG and idiopathic anosmia. Our patient, along with the literature, suggests that anosmia may be an early symptom before MG. MG accompanied by anosmia could be a special subtype of MG according to antibody production and symptoms.We report a case of ocular myasthenia gravis （MG） accompanied by anosmia. A 76-year-old man had idiopathic anosmia of 2-year duration. Four months before consultation, he began to have drooping in the right upper eyelid along with muscle soreness, distension, and pain in the nape. His tongue was dark-red with a thin and white coating; his pulse was wiry and slippery. According to Traditional Chinese Medicine, eyelid drooping and anosmia are the main signs of liver constraint and spleen deficiency. In Western Medicine, the diagnosis was ocular MG and idiopathic anosmia. Our patient, along with the literature, suggests that anosmia may be an early symptom before MG. MG accompanied by anosmia could be a special subtype of MG according to antibody production and symptoms.

关 键 词：Myasthenia gravis Olfaction disorders EYELIDS ANTIBODY 

分 类 号：R746.1[医药卫生—神经病学与精神病学]