Clinical Conversations: Myasthenia Gravis – A Practical Approach for GPs | Part three
This article about myasthenia gravis highlights the central role GPs have in the diagnosis and ongoing management of patients with this rare condition. This is part three of a three-part article.
• Patients need to continue keeping active; they will feel fatigued and it will be hard, because this is a condition that is exacerbated by more activity and it’s important to not misinterpret fatigue as worsening myasthenia weakness.
• It is extremely difficult to differentiate therapy-related side-effects from an adjustment disorder due to an initial diagnosis of myasthenia gravis. Mental health problems are common in our society.
• Replace what vitamins and minerals you are depleted in. If you are already replete, then the indication is not strong for supplementation.
• Myasthenia Gravis Patient Association groups are excellent to refer patients to.
Briefly, how could a GP differentiate myasthenia gravis, motor neurone disease and multiple sclerosis?
Number one, those are quite different conditions. One is a neuromuscular junction disorder, one is an anterior horn cell disorder and one is a disorder purely of the central nervous system. There is no hard and fast rules, but medicine begins in ...