Successful treatment of a patient with severe refractory myasthenia gravis using mycophenolate mofetil

Abstract

A 14-year-old girl initially noticed dysarthria on sustained speech. A year later she experienced intermittent ptosis; face, neck, and limb weakness; drooling; difficulty chewing and swallowing; and shortness of breath. Acetylcholine receptor antibody levels, Tensilon (Zeneca Pharmaceuticals; Wilmington, DE) test, and repetitive nerve stimulation were all positive and consistent with the diagnosis of MG.