A Myasthenia Gravis Case Diagnosed Simultaneously with Diabetic Ketoacidosis

Gülin Karacan Küçükali, Şakire Başer, Mehpare Özkan, Şenay Savaş Erdeve, Zehra Aycan
2019 Journal of Pediatric Research  
ABS TRACT Juvenile myasthenia gravis (JMG) is an autoimmune disease caused by antibodies affecting the postsynaptic membrane at the neuromuscular junction. The association of JMG with Type I diabetes mellitus (DM), another autoimmune disease, is very rare and the pathogenesis has not been fully explained. Our case is the youngest patient where this association has been reported in the literature and presented at the age of 4 years when diabetic ketoacidosis developed together with the emergence
more » ... with the emergence of ocular myasthenia findings. She is the only case diagnosed with JMG among the 510 Type I DM patients followed-up at our clinic. Although an autoimmune process may have triggered both autoimmune diseases at the same time in this case, we believe the diabetic ketoacidosis was a triggering factor for the JMG and discuss this association.
doi:10.4274/jpr.galenos.2018.26566 fatcat:25oaejk2bbecpmji23vhal4m2u