A Myasthenia Gravis Case Diagnosed Simultaneously with Diabetic Ketoacidosis

Kucukali G. K., Baser S., Ozkan M., Erdeve S. S., AYCAN Z.

JOURNAL OF PEDIATRIC RESEARCH, cilt.6, sa.1, ss.73-76, 2019 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 6 Sayı: 1
  • Basım Tarihi: 2019
  • Doi Numarası: 10.4274/jpr.galenos.2018.26566
  • Dergi Adı: JOURNAL OF PEDIATRIC RESEARCH
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.73-76
  • Anahtar Kelimeler: Type I diabetes mellitus, diabetic ketoacidosis, juvenile myasthenia gravis, MELLITUS
  • Ankara Üniversitesi Adresli: Evet

Özet

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 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.