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Insights Into the Association Between Myasthenia Gravis and Depression: A Clinical Case Study
Journal article   Open access   Peer reviewed

Insights Into the Association Between Myasthenia Gravis and Depression: A Clinical Case Study

CUREUS JOURNAL OF MEDICAL SCIENCE, v 15(8), e43682
18 Aug 2023
PMID: 37724206
url
https://doi.org/10.7759/cureus.43682View
Published, Version of Record (VoR) Open

Abstract

Myasthenia gravis (MG) is a serious and debilitating autoimmune disease characterized by muscle weakness, shortness of breath, and issues affecting the eyes, limbs, throat, and speech. Given the intense physical toll of the disease, it is unsurprising that higher rates of depression are observed among MG patients.We present a case involving a 30-year-old female patient who was admitted to the hospital for MG exacerbation and had a psychiatric consultation for worsening depression symptoms. The patient acknowledged symptoms of sad mood, crying spells, anhedonia, fatigue, insomnia, and inappropriate guilt. She admits to psychosocial stressors of her declining health, recent job loss, and low self-esteem due to weight gain. Past medical history includes a thymectomy and a total thyroidectomy that caused postsurgical-acquired hypothyroidism. She is currently on prednisone and pyridostigmine for her MG.The patient has many potential causes of her increased depressive symptoms, including her medications, psychosocial stressors, and her past medical history, in addition to her MG. However, the literature shows higher incidence rates of depression in MG patients compared to both healthy controls and controls with other comparable chronic conditions, as well as shows a positive association between increased depressive symptoms and MG severity. Thus, these findings prompt the consideration of possible physiological interplay between the two diseases and encourage further research into the association between MG and depression.

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
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