%0 Case Reports %T Facial-onset sensory and motor neuronopathy with myasthenia gravis: A case report. %A Pan C %A Yang X %A Tai Z %A Zhou Z %A Hao R %A Wang J %A Liang T %J Medicine (Baltimore) %V 102 %N 46 %D 2023 Nov 17 %M 37986404 %F 1.817 %R 10.1097/MD.0000000000034215 %X BACKGROUND: Facial-onset sensory and motor neuronopathy (FOSMN) is a greatly rare disease, so far, autopsy evidence that is associated with neurodegenerative. Myasthenia gravis (MG) is an antibody-mediated and complement-involved acquired autoimmune disorder of the post-synaptic neuromuscular junction. There have been few reports about if there is related between the 2. In this study, we present the case of a man who was diagnosed as FOSMN with MG in continuity.
METHODS: The patient chief complaints were right-side facial numbness and right-eyelid incomplete closure, followed by slurred speech and dysphagia, and the symptoms gradually progressed. The patient serum was positive for anti-AchR and anti-Titin antibodies.
METHODS: The patient was diagnosed FOSMN with MG.
METHODS: The patient symptoms were relieved after pyridostigmine bromide and prednisolone treatment.
RESULTS: Symptoms have improved.
CONCLUSIONS: Facial-onset sensory and motor neuronopathy and MG have disparate clinical features. Therefore, we reported a rare case in which the 2 conditions concurrently existed. Immune dysfunction might be the pathogenesis of this association, while there is no definite evidence to support it, further studies are needed.