Ocular myasthenia gravis accompanied by anosmia

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• 作者：Chen Ying^a ; Wang Li^b ; Zhou Li^a ; Gao Ying ; ^a ; ^{gaoying973@126.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Myasthenia gravis ; Olfaction disorders ; Eyelids ; Antibody
• 刊名：Journal of Traditional Chinese Medicine
• 出版年：2016
• 出版时间：15 February 2016
• 年：2016
• 卷：36
• 期：1
• 页码：125-130
• 全文大小：445 K

文摘

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.