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September 1970

Myasthenia Gravis.

Author Affiliations

MC, USA San Francisco

Arch Intern Med. 1970;126(3):540. doi:10.1001/archinte.1970.00310090170054

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This monograph of myasthenia gravis is the work of 12 contributors, from England and Scotland. It is divided into 12 chapters dealing with various aspects of the problem of myasthenia gravis. Some are excellent; the chapter on neuromuscular transmission was especially commendable, concise, and easy to read.

In the section on the diagnosis of myasthenia gravis, the discussion of the myasthenia-like syndrome associated with carcinoma of the lung is disappointing. The author promises a discussion of electromyographic findings in this condition, but the reviewer failed to find any such item in the chapter on electromyography. The book strongly endorses thymectomy for treatment of myasthenia gravis early in the course of the disease (except in patients with ocular myasthenia only, elderly patients with mild myasthenia who show good response to drugs, and elderly patients with major physical disability in addition to the myasthenia). This is a much wider application of this

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